Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,778.28 / $6,606.93	Facility		$630.96	$1,778.28	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $2,041.74	Professional		$346.74	$630.96	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,698.24	Professional		$707.95	$1,148.15	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $1,513.56	Professional		$363.08	$676.08	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,071.52 / $7,244.36	Facility		$588.84	$1,071.52	$7,244.36
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 $575.44 / $1,071.52 / $2,951.21	Professional		$575.44	$1,071.52	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,513.56	Professional		$870.96	$1,047.13	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,513.56	Professional		$724.44	$1,071.52	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $691.83 / $1,202.26	Professional		$380.19	$691.83	$1,202.26
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 $407.38 / $660.69 / $1,348.96	Professional		$407.38	$660.69	$1,348.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,288.25	Professional		$758.58	$891.25	$1,288.25