Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $4,677.35 / $7,079.46	Facility		$371.54	$4,677.35	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $2,691.53 / $5,370.32	Professional		$251.19	$2,691.53	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $8,912.51	Professional		$575.44	$724.44	$8,912.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $4,265.80 / $13,182.57	Professional		$251.19	$4,265.80	$13,182.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $6,606.93 / $17,378.01	Facility		$588.84	$6,606.93	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $6,606.93 / $11,481.54	Professional		$676.08	$6,606.93	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $6,456.54 / $8,709.64	Professional		$562.34	$6,456.54	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $691.83 / $9,549.93	Professional		$676.08	$691.83	$9,549.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $9,120.11	Professional		$5.01	$5.01	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,332.54 / $18,620.87	Facility		$5,495.41	$9,332.54	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $3,235.94 / $9,332.54	Professional		$295.12	$3,235.94	$9,332.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $6,456.54	Professional		$467.74	$549.54	$6,456.54