Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,235.94 / $6,760.83	Facility		$977.24	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,621.81	Professional		$616.60	$794.33	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,905.46	Professional		$1,412.54	$1,513.56	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $2,290.87	Professional		$645.65	$1,047.13	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,570.88 / $16,218.10	Facility		$977.24	$4,570.88	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $7,585.78	Professional		$691.83	$1,202.26	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,137.96	Professional		$1,412.54	$1,412.54	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $1,778.28	Professional		$1,202.26	$1,737.80	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,230.27 / $1,737.80	Professional		$5.01	$1,230.27	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,715.19 / $15,488.17	Facility		$7,413.10	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,819.70	Professional		$660.69	$954.99	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,412.54	Professional		$1,202.26	$1,202.26	$1,412.54