Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,801.89 / $6,760.83	Facility		$190.55	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $602.56 / $3,548.13	Professional		$114.82	$602.56	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,445.44 / $1,862.09	Professional		$281.84	$1,445.44	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $891.25 / $2,511.89	Professional		$125.89	$891.25	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,479.11 / $3,467.37	Facility		$295.12	$1,479.11	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,479.11 / $2,570.40	Professional		$331.13	$1,479.11	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,318.26 / $1,862.09	Professional		$269.15	$1,318.26	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $1,995.26	Professional		$331.13	$338.84	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,288.25 / $1,819.70	Professional		$3.02	$1,288.25	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $4,897.79	Facility		$1,318.26	$2,344.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $676.08 / $1,995.26	Professional		$158.49	$676.08	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $1,258.93	Professional		$218.78	$257.04	$1,258.93