Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,981.07 / $6,760.83	Facility		$549.54	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $831.76	Professional		$316.23	$380.19	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $724.44 / $912.01	Professional		$338.84	$724.44	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $691.83 / $1,698.24	Professional		$309.03	$691.83	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $794.33 / $8,912.51	Facility		$380.19	$794.33	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $2,454.71	Professional		$363.08	$691.83	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $977.24	Professional		$707.95	$812.83	$977.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Professional		$707.95	$758.58	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $707.95 / $812.83	Professional		$3.98	$707.95	$812.83
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 $338.84 / $524.81 / $977.24	Professional		$338.84	$524.81	$977.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $741.31	Professional		$501.19	$630.96	$741.31