Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,951.21 / $6,456.54	Facility		$524.81	$2,951.21	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $1,380.38	Professional		$331.13	$512.86	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,380.38	Professional		$758.58	$954.99	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $691.83 / $1,318.26	Professional		$309.03	$691.83	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,122.02 / $5,011.87	Facility		$524.81	$1,122.02	$5,011.87
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	AS	$154.88	$154.88	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $2,454.71	Professional		$512.86	$870.96	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,202.26	Professional		$758.58	$870.96	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,288.25	Professional		$630.96	$891.25	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,258.93	Professional		$602.56	$977.24	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $1,122.02	Professional		$371.54	$645.65	$1,122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,071.52	Professional		$660.69	$776.25	$1,071.52