Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,570.88 / $7,079.46	Facility		$676.08	$4,570.88	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,548.82	Professional		$446.68	$660.69	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,819.70	Professional		$1,096.48	$1,412.54	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,000.00 / $1,584.89	Professional		$467.74	$1,000.00	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,548.82 / $14,791.08	Facility		$812.83	$1,548.82	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $3,467.37	Professional		$707.95	$1,230.27	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,659.59	Professional		$1,023.29	$1,348.96	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,659.59	Professional		$954.99	$1,230.27	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,318.26 / $1,621.81	Professional		$5.01	$1,318.26	$1,621.81
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 $549.54 / $912.01 / $1,584.89	Professional		$549.54	$912.01	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,348.96	Professional		$870.96	$1,023.29	$1,348.96