Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,388.44 / $6,760.83	Facility		$407.38	$3,388.44	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $549.54 / $4,265.80	Professional		$234.42	$549.54	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $676.08 / $6,165.95	Professional		$295.12	$676.08	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $2,951.21 / $7,079.46	Professional		$234.42	$2,951.21	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,698.24 / $5,495.41	Facility		$309.03	$1,698.24	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $4,168.69 / $17,378.01	Professional		$588.84	$4,168.69	$17,378.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $3,715.35 / $6,918.31	Professional		$524.81	$3,715.35	$6,918.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,905.46 / $7,413.10	Professional		$645.65	$1,905.46	$7,413.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $524.81 / $5,248.07	Professional		$223.87	$524.81	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $6,309.57	Facility		$1,778.28	$3,630.78	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $645.65 / $5,495.41	Professional		$275.42	$645.65	$5,495.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $5,011.87	Professional		$457.09	$562.34	$5,011.87