Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,981.07 / $7,943.28	Facility		$954.99	$3,981.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $1,412.54	Professional		$562.34	$645.65	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $1,778.28	Professional		$1,000.00	$1,445.44	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,659.59	Professional		$524.81	$851.14	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,513.56 / $17,782.79	Facility		$812.83	$1,513.56	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,174.90 / $4,677.35	Professional		$588.84	$1,174.90	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,659.59	Professional		$1,122.02	$1,380.38	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,659.59	Professional		$912.01	$1,174.90	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,380.38	Professional		$588.84	$1,047.13	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $19,498.45	Facility		$8,511.38	$11,748.98	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,621.81	Professional		$562.34	$851.14	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,412.54	Professional		$954.99	$1,202.26	$1,412.54