Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,511.89 / $6,760.83	Facility		$831.76	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,380.38	Professional		$457.09	$602.56	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $1,621.81	Professional		$1,122.02	$1,288.25	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $2,630.27	Professional		$524.81	$891.25	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,884.03 / $10,232.93	Facility		$794.33	$2,884.03	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $4,073.80	Professional		$549.54	$977.24	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,513.56	Professional		$1,000.00	$1,174.90	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $1,479.11	Professional		$977.24	$1,479.11	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,000.00 / $1,412.54	Professional		$3.02	$1,000.00	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,128.31 / $10,964.78	Facility		$5,128.61	$8,128.31	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,412.54	Professional		$524.81	$758.58	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,174.90	Professional		$1,000.00	$1,000.00	$1,174.90