Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,786.30 / $7,079.46	Facility		$794.33	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,348.96	Professional		$501.19	$645.65	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,548.82	Professional		$1,230.27	$1,288.25	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $2,089.30	Professional		$537.03	$954.99	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $17,782.79	Facility		$954.99	$3,801.89	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $5,011.87	Professional		$630.96	$1,096.48	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $2,041.74	Professional		$1,202.26	$1,348.96	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,445.44	Professional		$1,071.52	$1,445.44	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,174.90 / $1,348.96	Professional		$6.03	$1,174.90	$1,348.96
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 $575.44 / $870.96 / $1,698.24	Professional		$575.44	$870.96	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,174.90	Professional		$1,000.00	$1,000.00	$1,174.90