Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,090.30 / $6,760.83	Facility		$275.42	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $602.56	Professional		$154.88	$281.84	$602.56
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 $173.78 / $398.11 / $851.14	Professional		$173.78	$398.11	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $426.58 / $660.69	Professional		$158.49	$426.58	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $426.58 / $2,951.21	Facility		$208.93	$426.58	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $2,290.87	Professional		$302.00	$537.03	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $758.58	Professional		$363.08	$446.68	$758.58
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 $302.00 / $512.86 / $851.14	Professional		$302.00	$512.86	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $575.44 / $870.96	Professional		$5.01	$575.44	$870.96
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 $173.78 / $323.59 / $660.69	Professional		$173.78	$323.59	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $724.44	Professional		$331.13	$398.11	$724.44