Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.31 / $2,546.00 / $6,298.62	Facility		$484.31	$2,546.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $485.53 / $1,089.81	Professional		$139.09	$485.53	$1,089.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.25 / $719.21 / $1,973.07	Professional		$254.25	$719.21	$1,973.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.37 / $888.89 / $1,270.33	Professional		$199.37	$888.89	$1,270.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.55 / $1,080.35 / $3,825.00	Facility		$263.55	$1,080.35	$3,825.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $612.94 / $1,472.64 / $2,606.64	Professional		$612.94	$1,472.64	$2,606.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $367.73 / $950.80 / $1,693.53	Facility		$367.73	$950.80	$1,693.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $319.86 / $1,105.02 / $1,905.97	Professional		$319.86	$1,105.02	$1,905.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $902.50	Professional		$5.00	$5.00	$902.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.61 / $1,037.98 / $2,111.84	Professional		$713.61	$1,037.98	$2,111.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.60 / $403.30 / $1,586.50	Professional		$329.60	$403.30	$1,586.50