Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,090.30 / $6,760.83	Facility		$691.83	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,584.89	Professional		$436.52	$562.34	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,380.38	Professional		$1,000.00	$1,096.48	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $1,096.48	Professional		$416.87	$758.58	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,570.40 / $8,709.64	Facility		$691.83	$2,570.40	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $3,467.37	Professional		$478.63	$851.14	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,380.38	Professional		$912.01	$1,000.00	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $1,288.25	Professional		$851.14	$1,258.93	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $891.25 / $1,258.93	Professional		$5.01	$891.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,309.57 / $8,912.51	Facility		$4,365.16	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,288.25	Professional		$457.09	$676.08	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,023.29	Professional		$870.96	$870.96	$1,023.29