Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.83 / $1,150.83 / $13,027.40	Professional		$1,150.83	$1,150.83	$13,027.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.28 / $536.61 / $3,486.47	Professional		$429.28	$536.61	$3,486.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $1,405.30 / $2,249.77	Professional		$193.36	$1,405.30	$2,249.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $479.36 / $3,318.33 / $10,188.00	Facility		$479.36	$3,318.33	$10,188.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $552.46 / $4,045.09 / $9,151.12	Professional		$552.46	$4,045.09	$9,151.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $480.54 / $2,845.62 / $4,977.21	Facility		$480.54	$2,845.62	$4,977.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $449.78 / $3,021.23 / $5,015.83	Professional		$449.78	$3,021.23	$5,015.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.96 / $437.51 / $2,162.81	Professional		$219.96	$437.51	$2,162.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.27 / $4,310.17 / $6,465.69	Professional		$2,137.27	$4,310.17	$6,465.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $412.40 / $485.10 / $2,804.80	Professional		$412.40	$485.10	$2,804.80