Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,981.07 / $6,760.83	Facility		$676.08	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,122.02	Professional		$398.11	$575.44	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,047.13 / $1,230.27	Professional		$977.24	$1,047.13	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,778.28	Professional		$436.52	$660.69	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $11,748.98 / $27,542.29	Facility		$794.33	$11,748.98	$27,542.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $1,737.80	Professional		$549.54	$977.24	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,862.09	Professional		$933.25	$1,071.52	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $758.58 / $1,023.29	Professional		$426.58	$758.58	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $16,218.10 / $53,703.18	Facility		$10,471.29	$16,218.10	$53,703.18
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,412.54	Professional		$489.78	$758.58	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,047.13	Professional		$707.95	$891.25	$1,047.13