Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,388.44 / $7,943.28	Facility		$524.81	$3,388.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $588.84 / $4,365.16	Professional		$263.03	$588.84	$4,365.16
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 $316.23 / $758.58 / $6,165.95	Professional		$316.23	$758.58	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,318.26 / $3,019.95	Professional		$257.04	$1,318.26	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,698.24 / $5,623.41	Facility		$346.74	$1,698.24	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $4,365.16 / $17,782.79	Professional		$676.08	$4,365.16	$17,782.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $3,715.35 / $6,918.31	Professional		$588.84	$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 $724.44 / $2,089.30 / $7,762.47	Professional		$724.44	$2,089.30	$7,762.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $831.76 / $5,495.41	Professional		$251.19	$831.76	$5,495.41
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 $316.23 / $758.58 / $5,754.40	Professional		$316.23	$758.58	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $5,248.07	Professional		$512.86	$630.96	$5,248.07