Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,289.39 / $3,289.39 / $77,934.60	Professional		$3,289.39	$3,289.39	$77,934.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.52 / $1,531.91 / $24,178.39	Professional		$1,225.52	$1,531.91	$24,178.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $542.95 / $9,459.76 / $13,170.90	Professional		$542.95	$9,459.76	$13,170.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,365.18 / $16,293.00 / $33,239.54	Facility		$1,365.18	$16,293.00	$33,239.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,561.29 / $21,631.28 / $38,721.10	Professional		$1,561.29	$21,631.28	$38,721.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,365.18 / $20,036.34 / $27,485.81	Facility		$1,365.18	$20,036.34	$27,485.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,265.65 / $17,777.16 / $27,653.36	Professional		$1,265.65	$17,777.16	$27,653.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $617.02 / $7,276.74 / $24,703.05	Professional		$617.02	$7,276.74	$24,703.05
United Facility/Professional Professional Modifier Low / Median / High Price $12,075.71 / $22,225.36 / $38,721.10	Professional		$12,075.71	$22,225.36	$38,721.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,160.30 / $1,365.10 / $19,174.40	Professional		$1,160.30	$1,365.10	$19,174.40