Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,235.94 / $6,760.83	Facility		$724.44	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,230.27	Professional		$457.09	$588.84	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,445.44	Professional		$1,047.13	$1,148.15	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,698.24	Professional		$478.63	$794.33	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,318.26 / $5,128.61	Facility		$776.25	$1,318.26	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $4,073.80	Professional		$501.19	$891.25	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,584.89	Professional		$1,047.13	$1,047.13	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,318.26	Professional		$891.25	$1,318.26	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $933.25 / $1,318.26	Professional		$5.01	$933.25	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,348.96	Professional		$478.63	$707.95	$1,348.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,071.52	Professional		$912.01	$912.01	$1,071.52