Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,981.07 / $6,760.83	Facility		$1,023.29	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,548.82	Professional		$537.03	$660.69	$1,548.82
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 $562.34 / $1,380.38 / $1,737.80	Professional		$562.34	$1,380.38	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,023.29 / $2,511.89	Professional		$575.44	$1,023.29	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,318.26 / $7,079.46	Facility		$630.96	$1,318.26	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,122.02 / $4,466.84	Professional		$616.60	$1,122.02	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,659.59	Professional		$954.99	$1,380.38	$1,659.59
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 $851.14 / $1,148.15 / $1,698.24	Professional		$851.14	$1,148.15	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,148.15 / $1,584.89	Professional		$5.01	$1,148.15	$1,584.89
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 $602.56 / $870.96 / $1,621.81	Professional		$602.56	$870.96	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,412.54	Professional		$954.99	$1,202.26	$1,412.54