Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,238.72 / $6,456.54	Facility		$288.40	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $758.58	Professional		$162.18	$302.00	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $776.25	Professional		$194.98	$407.38	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $416.87 / $660.69	Professional		$165.96	$416.87	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $457.09 / $5,495.41	Facility		$223.87	$457.09	$5,495.41
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 $398.11 / $467.74 / $758.58	Professional		$398.11	$467.74	$758.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $831.76	Professional		$331.13	$524.81	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $724.44	Professional		$177.83	$363.08	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $7,762.47	Facility		$2,570.40	$5,128.61	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $676.08	Professional		$190.55	$331.13	$676.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $707.95	Professional		$338.84	$416.87	$707.95