Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,398.83 / $6,760.83	Facility		$363.08	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $1,122.02	Professional		$194.98	$346.74	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $602.56	Professional		$245.47	$478.63	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $630.96 / $1,445.44	Professional		$204.17	$630.96	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $602.56 / $8,317.64	Facility		$288.40	$602.56	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $537.03 / $2,290.87	Professional		$251.19	$537.03	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $691.83	Professional		$478.63	$588.84	$691.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $741.31	Professional		$588.84	$691.83	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $549.54	Professional		$218.78	$398.11	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,244.36 / $10,232.93	Facility		$3,715.35	$7,244.36	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $691.83	Professional		$229.09	$426.58	$691.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $501.19	Professional		$331.13	$426.58	$501.19