Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.96 / $743.96 / $743.96	Facility		$743.96	$743.96	$743.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,120.89 / $2,527.84 / $3,516.07	Professional		$2,120.89	$2,527.84	$3,516.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,354.83 / $6,545.47 / $6,736.12	Facility		$6,354.83	$6,545.47	$6,736.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.68 / $1,410.22 / $1,904.99	Professional		$443.68	$1,410.22	$1,904.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $533.87 / $851.88 / $1,457.51	Professional		$533.87	$851.88	$1,457.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.11 / $2,578.40 / $8,400.95	Facility		$107.11	$2,578.40	$8,400.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $535.59 / $1,833.16 / $6,869.73	Professional		$535.59	$1,833.16	$6,869.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $1,224.08 / $3,733.42	Facility		$102.48	$1,224.08	$3,733.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $984.00 / $1,904.99	Professional		$95.16	$984.00	$1,904.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,487.00 / $4,487.00 / $4,487.00	Professional		$4,487.00	$4,487.00	$4,487.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.89 / $1,756.77 / $3,107.48	Professional		$683.89	$1,756.77	$3,107.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,402.67 / $5,573.00 / $6,556.50	Professional		$4,402.67	$5,573.00	$6,556.50