Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,090.30 / $6,760.83	Facility		$407.38	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $724.44	Professional		$223.87	$331.13	$724.44
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 $245.47 / $562.34 / $831.76	Professional		$245.47	$562.34	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $467.74 / $977.24	Professional		$229.09	$467.74	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $588.84 / $5,248.07	Facility		$263.03	$588.84	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $616.60 / $2,630.27	Professional		$316.23	$616.60	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $870.96	Professional		$489.78	$645.65	$870.96
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 $436.52 / $588.84 / $912.01	Professional		$436.52	$588.84	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $616.60 / $933.25	Professional		$5.01	$616.60	$933.25
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 $245.47 / $380.19 / $741.31	Professional		$245.47	$380.19	$741.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $794.33	Professional		$478.63	$562.34	$794.33