Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.78 / $3,089.00 / $6,298.62	Facility		$533.78	$3,089.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $703.13 / $1,206.45	Professional		$194.93	$703.13	$1,206.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.02 / $528.25 / $2,159.08	Professional		$402.02	$528.25	$2,159.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.11 / $997.52 / $1,609.10	Professional		$167.11	$997.52	$1,609.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.14 / $1,752.70 / $8,545.00	Facility		$443.14	$1,752.70	$8,545.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $428.00 / $1,601.89 / $2,972.32	Professional		$428.00	$1,601.89	$2,972.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $430.08 / $1,716.97 / $3,788.48	Facility		$430.08	$1,716.97	$3,788.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $394.47 / $1,369.73 / $2,148.05	Professional		$394.47	$1,369.73	$2,148.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.71 / $694.95 / $4,079.62	Professional		$177.71	$694.95	$4,079.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $867.05 / $1,772.64 / $2,454.37	Professional		$867.05	$1,772.64	$2,454.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.60 / $425.50 / $1,727.80	Professional		$361.60	$425.50	$1,727.80