Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,175.56 / $2,175.56 / $19,507.00	Professional		$2,175.56	$2,175.56	$19,507.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.83 / $1,023.54 / $6,920.36	Professional		$818.83	$1,023.54	$6,920.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $364.50 / $2,776.23 / $3,865.36	Professional		$364.50	$2,776.23	$3,865.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $909.32 / $5,971.19 / $13,476.00	Facility		$909.32	$5,971.19	$13,476.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,044.86 / $5,971.19 / $11,230.64	Professional		$1,044.86	$5,971.19	$11,230.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $905.19 / $5,400.20 / $7,034.29	Facility		$905.19	$5,400.20	$7,034.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $849.33 / $5,148.43 / $7,634.48	Professional		$849.33	$5,148.43	$7,634.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $415.94 / $2,135.56 / $6,799.64	Professional		$415.94	$2,135.56	$6,799.64
United Facility/Professional Professional Modifier Low / Median / High Price $3,221.14 / $5,815.53 / $9,835.46	Professional		$3,221.14	$5,815.53	$9,835.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $778.70 / $916.10 / $5,553.10	Professional		$778.70	$916.10	$5,553.10