Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,981.07 / $6,760.83	Facility		$794.33	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,621.81	Professional		$426.58	$537.03	$1,621.81
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 $446.68 / $1,096.48 / $1,380.38	Professional		$446.68	$1,096.48	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $831.76 / $1,513.56	Professional		$446.68	$831.76	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,047.13 / $7,079.46	Facility		$489.78	$1,047.13	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $3,548.13	Professional		$467.74	$851.14	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,258.93	Professional		$724.44	$1,071.52	$1,258.93
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 $630.96 / $912.01 / $1,288.25	Professional		$630.96	$912.01	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $870.96 / $1,174.90	Professional		$467.74	$870.96	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,025.60 / $8,511.38	Facility		$2,951.21	$6,025.60	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,230.27	Professional		$467.74	$660.69	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,122.02	Professional		$741.31	$954.99	$1,122.02