Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,801.89 / $6,760.83	Facility		$208.93	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $1,412.54 / $2,818.38	Professional		$141.25	$1,412.54	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $4,786.30	Professional		$331.13	$467.74	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $2,290.87 / $6,606.93	Professional		$141.25	$2,290.87	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $4,570.88 / $16,982.44	Facility		$354.81	$4,570.88	$16,982.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $3,981.07 / $10,964.78	Professional		$380.19	$3,981.07	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $3,388.44 / $5,370.32	Professional		$316.23	$3,388.44	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $5,011.87	Professional		$323.59	$380.19	$5,011.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $4,677.35 / $5,623.41	Professional		$5.01	$4,677.35	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,079.46 / $18,620.87	Facility		$4,365.16	$7,079.46	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,698.24 / $5,495.41	Professional		$173.78	$1,698.24	$5,495.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $3,388.44	Professional		$269.15	$316.23	$3,388.44