Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,090.30 / $6,760.83	Facility		$199.53	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $741.31 / $2,754.23	Professional		$117.49	$741.31	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $1,096.48 / $3,630.78	Professional		$144.54	$1,096.48	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $1,071.52 / $1,584.89	Professional		$117.49	$1,071.52	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,479.11 / $3,890.45	Facility		$144.54	$1,479.11	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $9,120.11	Professional		$1,023.29	$2,041.74	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,778.28 / $3,467.37	Professional		$281.84	$1,778.28	$3,467.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,905.46 / $3,981.07	Professional		$309.03	$1,905.46	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $3,630.78	Professional		$6.03	$6.03	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,801.89 / $5,370.32	Facility		$1,584.89	$3,801.89	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $870.96 / $2,630.27	Professional		$138.04	$870.96	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $2,691.53	Professional		$229.09	$275.42	$2,691.53