Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,511.89 / $6,760.83	Facility		$302.00	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $1,000.00	Professional		$169.82	$302.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $489.78 / $1,288.25	Professional		$194.98	$489.78	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $467.74 / $691.83	Professional		$173.78	$467.74	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $501.19 / $4,677.35	Facility		$213.80	$501.19	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $3,890.45	Professional		$194.98	$371.54	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $1,288.25	Professional		$354.81	$501.19	$1,288.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $1,288.25	Professional		$309.03	$363.08	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $446.68 / $1,148.15	Professional		$194.98	$446.68	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $6,309.57	Facility		$2,511.89	$4,786.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $549.54	Professional		$186.21	$269.15	$549.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $1,174.90	Professional		$363.08	$446.68	$1,174.90