Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,235.94 / $6,760.83	Facility		$707.95	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,202.26	Professional		$446.68	$575.44	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,412.54	Professional		$1,023.29	$1,122.02	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,819.70	Professional		$467.74	$776.25	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,365.16 / $16,218.10	Facility		$707.95	$4,365.16	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $3,548.13	Professional		$489.78	$870.96	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,380.38	Professional		$933.25	$1,023.29	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,288.25	Professional		$870.96	$1,258.93	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $912.01 / $1,288.25	Professional		$5.01	$912.01	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,079.46 / $15,488.17	Facility		$4,365.16	$7,079.46	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,318.26	Professional		$467.74	$676.08	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Professional		$891.25	$891.25	$1,047.13