Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,715.35 / $7,244.36	Facility		$691.83	$3,715.35	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,949.84	Professional		$416.87	$691.83	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,000.00 / $1,258.93	Professional		$977.24	$1,000.00	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,445.44	Professional		$407.38	$741.31	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,238.72 / $7,585.78	Facility		$562.34	$2,238.72	$7,585.78
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	AS	$645.65	$645.65	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $1,380.38	Professional		$489.78	$851.14	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,445.44	Professional		$851.14	$977.24	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,174.90	Professional		$851.14	$1,122.02	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,122.02	Professional		$602.56	$933.25	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,309.57 / $8,912.51	Facility		$3,801.89	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,318.26	Professional		$467.74	$707.95	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,023.29	Professional		$870.96	$870.96	$1,023.29