Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,162.28 / $6,760.83	Facility		$602.56	$3,162.28	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $724.44 / $3,715.35	Professional		$147.91	$724.44	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $1,905.46	Professional		$331.13	$416.87	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $831.76 / $1,096.48	Professional		$147.91	$831.76	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,513.56 / $4,265.80	Facility		$346.74	$1,513.56	$4,265.80
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	52	$524.81	$524.81	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,288.25 / $2,754.23	Professional		$389.05	$1,288.25	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,071.52 / $1,819.70	Professional		$316.23	$1,071.52	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $1,862.09	Professional		$316.23	$398.11	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $1,995.26 / $2,398.83	Professional		$3.98	$1,995.26	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $5,128.61	Facility		$1,819.70	$3,890.45	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $537.03 / $1,737.80	Professional		$190.55	$537.03	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $1,380.38	Professional		$269.15	$316.23	$1,380.38