Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,235.94 / $6,760.83	Facility		$660.69	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $1,905.46	Professional		$389.05	$549.54	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,230.27	Professional		$776.25	$977.24	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,288.25	Professional		$398.11	$588.84	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,122.02 / $8,317.64	Facility		$630.96	$1,122.02	$8,317.64
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility	52	$6,760.83	$6,760.83	$6,760.83
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	AS	$851.14	$851.14	$851.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $870.96 / $3,235.94	Professional		$446.68	$870.96	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,122.02	Professional		$891.25	$1,000.00	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,122.02	Professional		$851.14	$851.14	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $933.25	Professional		$398.11	$707.95	$933.25
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 $416.87 / $630.96 / $1,202.26	Professional		$416.87	$630.96	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $954.99	Professional		$645.65	$812.83	$954.99