Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,754.23 / $6,025.60	Facility		$436.52	$2,754.23	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,258.93 / $3,311.31	Professional		$213.80	$1,258.93	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,513.56 / $3,630.78	Professional		$501.19	$1,513.56	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,737.80 / $2,398.83	Professional		$218.78	$1,737.80	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,951.21 / $9,120.11	Facility		$501.19	$2,951.21	$9,120.11
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	52	$776.25	$776.25	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,621.81 / $4,570.88	Professional		$575.44	$1,621.81	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,513.56 / $3,311.31	Professional		$416.87	$1,513.56	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $588.84 / $3,388.44	Professional		$575.44	$588.84	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $1,258.93 / $2,754.23	Professional		$208.93	$1,258.93	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $9,772.37	Facility		$4,365.16	$6,606.93	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $954.99 / $2,754.23	Professional		$269.15	$954.99	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $2,570.40	Professional		$398.11	$467.74	$2,570.40