Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,981.07 / $6,760.83	Facility		$912.01	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $2,041.74	Professional		$537.03	$707.95	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,737.80	Professional		$1,047.13	$1,380.38	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,995.26	Professional		$501.19	$794.33	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,513.56 / $8,317.64	Facility		$776.25	$1,513.56	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $4,365.16	Professional		$575.44	$1,122.02	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,548.82	Professional		$1,096.48	$1,318.26	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,122.02 / $1,548.82	Professional		$1,096.48	$1,122.02	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $1,230.27	Professional		$537.03	$954.99	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,584.89	Professional		$549.54	$812.83	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,348.96	Professional		$912.01	$1,148.15	$1,348.96