Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,801.89 / $6,760.83	Facility		$602.56	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,949.84	Professional		$354.81	$602.56	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,584.89	Professional		$691.83	$1,148.15	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $1,348.96	Professional		$354.81	$630.96	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $5,248.07	Facility		$537.03	$1,023.29	$5,248.07
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	AS	$177.83	$177.83	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,000.00 / $2,884.03	Professional		$524.81	$1,000.00	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,412.54	Professional		$812.83	$1,023.29	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,202.26	Professional		$691.83	$1,023.29	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $1,122.02	Professional		$371.54	$676.08	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,413.10	Facility		$2,951.21	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,258.93	Professional		$380.19	$602.56	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,230.27	Professional		$758.58	$891.25	$1,230.27