Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,422.37 / $2,422.37 / $23,262.40	Professional		$2,422.37	$2,422.37	$23,262.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.09 / $6,420.56 / $8,025.70	Professional		$906.09	$6,420.56	$8,025.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $404.77 / $3,216.90 / $4,375.96	Professional		$404.77	$3,216.90	$4,375.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,037.77 / $6,939.64 / $13,476.00	Facility		$1,037.77	$6,939.64	$13,476.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $392.38 / $392.38 / $392.38	Facility	53	$392.38	$392.38	$392.38
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $196.19 / $196.19 / $196.19	Facility	AS	$196.19	$196.19	$196.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,160.16 / $7,157.98 / $13,602.07	Professional		$1,160.16	$7,157.98	$13,602.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,005.59 / $5,969.39 / $8,372.08	Facility		$1,005.59	$5,969.39	$8,372.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $943.22 / $5,969.39 / $9,026.95	Professional		$943.22	$5,969.39	$9,026.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $463.51 / $2,474.54 / $7,224.76	Professional		$463.51	$2,474.54	$7,224.76
United Facility/Professional Professional Modifier Low / Median / High Price $3,832.02 / $7,506.14 / $10,395.31	Professional		$3,832.02	$7,506.14	$10,395.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $864.80 / $1,017.40 / $6,438.60	Professional		$864.80	$1,017.40	$6,438.60