Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,235.94 / $6,760.83	Facility		$467.74	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $691.83	Professional		$257.04	$323.59	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $616.60 / $776.25	Professional		$295.12	$616.60	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $575.44 / $1,318.26	Professional		$257.04	$575.44	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $676.08 / $14,125.38	Facility		$331.13	$676.08	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $575.44 / $2,041.74	Professional		$309.03	$575.44	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $812.83	Professional		$602.56	$707.95	$812.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $724.44	Professional		$588.84	$630.96	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $616.60 / $691.83	Professional		$3.98	$616.60	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,511.38 / $16,982.44	Facility		$3,715.35	$8,511.38	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $812.83	Professional		$281.84	$446.68	$812.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $616.60	Professional		$416.87	$524.81	$616.60