Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $6,760.83	Facility		$630.96	$2,041.74	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,380.38	Professional		$436.52	$660.69	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $1,778.28	Professional		$831.76	$1,380.38	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $2,041.74	Professional		$446.68	$794.33	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,318.26 / $8,128.31	Facility		$676.08	$1,318.26	$8,128.31
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	AS	$213.80	$213.80	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,288.25 / $3,548.13	Professional		$676.08	$1,288.25	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,778.28	Professional		$1,071.52	$1,258.93	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,778.28	Professional		$891.25	$1,258.93	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $1,412.54	Professional		$457.09	$831.76	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,584.89	Professional		$489.78	$794.33	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,479.11	Professional		$912.01	$1,071.52	$1,479.11