Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,398.83 / $6,760.83	Facility		$229.09	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $707.95 / $2,187.76	Professional		$134.90	$707.95	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $676.08 / $2,238.72	Professional		$162.18	$676.08	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $912.01 / $1,584.89	Professional		$128.82	$912.01	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,230.27 / $2,511.89	Facility		$194.98	$1,230.27	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,621.81 / $5,623.41	Professional		$776.25	$1,621.81	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,737.80 / $2,089.30	Professional		$331.13	$1,737.80	$2,089.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,737.80 / $2,344.23	Professional		$275.42	$1,737.80	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $1,995.26 / $2,187.76	Professional		$3.98	$1,995.26	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $6,309.57	Facility		$1,412.54	$3,162.28	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $758.58 / $2,041.74	Professional		$158.49	$758.58	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $1,659.59	Professional		$257.04	$316.23	$1,659.59