Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,235.94 / $6,760.83	Facility		$691.83	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $1,047.13	Professional		$354.81	$457.09	$1,047.13
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 $407.38 / $954.99 / $1,202.26	Professional		$407.38	$954.99	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $724.44 / $1,479.11	Professional		$389.05	$724.44	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $870.96 / $3,630.78	Facility		$436.52	$870.96	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $3,090.30	Professional		$436.52	$758.58	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,148.15	Professional		$660.69	$933.25	$1,148.15
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 $724.44 / $776.25 / $1,148.15	Professional		$724.44	$776.25	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $776.25 / $1,096.48	Professional		$5.01	$776.25	$1,096.48
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 $416.87 / $588.84 / $1,096.48	Professional		$416.87	$588.84	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $977.24	Professional		$660.69	$831.76	$977.24