Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,090.30 / $6,760.83	Facility		$602.56	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $977.24 / $1,905.46	Professional		$269.15	$977.24	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,047.13 / $3,019.95	Professional		$407.38	$1,047.13	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,412.54 / $2,344.23	Professional		$251.19	$1,412.54	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,737.80 / $2,951.21	Facility		$501.19	$1,737.80	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,290.87 / $7,762.47	Professional		$707.95	$2,290.87	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $2,290.87 / $2,884.03	Professional		$616.60	$2,290.87	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $2,238.72 / $2,884.03	Professional		$537.03	$2,238.72	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $660.69 / $2,187.76	Professional		$275.42	$660.69	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,047.13 / $2,951.21	Professional		$309.03	$1,047.13	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $2,398.83	Professional		$537.03	$660.69	$2,398.83