Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,511.89 / $6,760.83	Facility		$346.74	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $870.96	Professional		$204.17	$389.05	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,096.48	Professional		$251.19	$478.63	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $588.84 / $1,258.93	Professional		$199.53	$588.84	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $616.60 / $2,290.87	Facility		$288.40	$616.60	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $3,019.95	Professional		$446.68	$776.25	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $870.96 / $1,047.13	Professional		$501.19	$870.96	$1,047.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,122.02	Professional		$436.52	$741.31	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $436.52 / $977.24	Professional		$194.98	$436.52	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,162.28 / $6,309.57	Facility		$1,445.44	$3,162.28	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $954.99	Professional		$234.42	$467.74	$954.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $912.01	Professional		$398.11	$489.78	$912.01