Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,981.07 / $7,413.10	Facility		$602.56	$3,981.07	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $933.25 / $3,467.37	Professional		$346.74	$933.25	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,884.03	Professional		$870.96	$1,318.26	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,288.25 / $2,041.74	Professional		$363.08	$1,288.25	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,238.72 / $8,128.31	Facility		$758.58	$2,238.72	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,479.11 / $3,715.35	Professional		$776.25	$1,479.11	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,454.71	Professional		$870.96	$1,318.26	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $2,691.53	Professional		$660.69	$912.01	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,905.46 / $2,691.53	Professional		$5.01	$1,905.46	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $8,709.64	Facility		$3,162.28	$5,495.41	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $912.01 / $2,187.76	Professional		$380.19	$912.01	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $2,089.30	Professional		$758.58	$891.25	$2,089.30