Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,011.87 / $10,964.78	Facility		$676.08	$5,011.87	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $1,445.44	Professional		$354.81	$467.74	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $912.01 / $1,148.15	Professional		$416.87	$912.01	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $2,238.72	Professional		$380.19	$707.95	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $891.25 / $9,120.11	Facility		$436.52	$891.25	$9,120.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $4,677.35	Professional		$426.58	$741.31	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,096.48	Professional		$691.83	$912.01	$1,096.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,096.48	Professional		$660.69	$758.58	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $758.58 / $1,000.00	Professional		$380.19	$758.58	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,762.47 / $10,964.78	Facility		$3,715.35	$7,762.47	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $1,096.48	Professional		$407.38	$575.44	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $933.25	Professional		$630.96	$794.33	$933.25