Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,570.88 / $7,079.46	Facility		$575.44	$4,570.88	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,318.26	Professional		$371.54	$549.54	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,548.82	Professional		$912.01	$1,202.26	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $851.14 / $1,479.11	Professional		$398.11	$851.14	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $14,791.08	Facility		$691.83	$1,380.38	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $2,884.03	Professional		$676.08	$1,122.02	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,380.38	Professional		$851.14	$1,148.15	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,621.81	Professional		$831.76	$1,148.15	$1,621.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,174.90 / $1,412.54	Professional		$5.01	$1,174.90	$1,412.54
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 $489.78 / $831.76 / $1,479.11	Professional		$489.78	$831.76	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,148.15	Professional		$724.44	$851.14	$1,148.15