Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.91 / $1,004.91 / $4,899.82	Professional		$1,004.91	$1,004.91	$4,899.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.42 / $1,361.09 / $1,701.36	Professional		$379.42	$1,361.09	$1,701.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.55 / $709.15 / $1,326.69	Professional		$169.55	$709.15	$1,326.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.95 / $1,453.41 / $10,188.00	Facility		$419.95	$1,453.41	$10,188.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.99 / $1,651.17 / $3,168.60	Professional		$483.99	$1,651.17	$3,168.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $419.95 / $1,280.14 / $1,989.89	Facility		$419.95	$1,280.14	$1,989.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $394.47 / $1,288.94 / $1,973.04	Professional		$394.47	$1,288.94	$1,973.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.26 / $381.33 / $1,086.84	Professional		$192.26	$381.33	$1,086.84
United Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $1,455.02 / $2,526.44	Professional		$798.08	$1,455.02	$2,526.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.60 / $425.50 / $1,390.20	Professional		$361.60	$425.50	$1,390.20