Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,370.32 / $7,943.28	Facility		$977.24	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,737.80	Professional		$575.44	$812.83	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,778.28	Professional		$1,412.54	$1,513.56	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $2,089.30	Professional		$588.84	$933.25	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,698.24 / $6,606.93	Facility		$977.24	$1,698.24	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $2,344.23	Professional		$724.44	$1,288.25	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,398.83	Professional		$1,318.26	$1,548.82	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,698.24	Professional		$1,288.25	$1,288.25	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,584.89	Professional		$660.69	$1,174.90	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,995.26	Professional		$676.08	$1,000.00	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,513.56	Professional		$1,023.29	$1,288.25	$1,513.56