Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,548.13 / $6,760.83	Facility		$602.56	$3,548.13	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $1,047.13	Professional		$338.84	$512.86	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,513.56	Professional		$660.69	$1,023.29	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,659.59	Professional		$354.81	$602.56	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,096.48 / $15,135.61	Facility		$562.34	$1,096.48	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $3,311.31	Professional		$549.54	$1,047.13	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,348.96	Professional		$831.76	$1,096.48	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,348.96	Professional		$676.08	$1,000.00	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $602.56 / $1,023.29	Professional		$331.13	$602.56	$1,023.29
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 $380.19 / $645.65 / $1,258.93	Professional		$380.19	$645.65	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,148.15	Professional		$676.08	$794.33	$1,148.15