Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,548.13 / $7,244.36	Facility		$933.25	$3,548.13	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $2,511.89	Professional		$512.86	$741.31	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,089.30	Professional		$1,288.25	$1,659.59	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,737.80	Professional		$512.86	$870.96	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,584.89 / $5,495.41	Facility		$851.14	$1,584.89	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,137.96	Professional		$758.58	$1,318.26	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,905.46	Professional		$1,258.93	$1,513.56	$1,905.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $933.25 / $1,479.11	Professional		$524.81	$933.25	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $6,760.83	Facility		$2,691.53	$5,011.87	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,698.24	Professional		$616.60	$851.14	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,479.11	Professional		$1,000.00	$1,202.26	$1,479.11