Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.70 / $1,095.70 / $6,813.79	Professional		$1,095.70	$1,095.70	$6,813.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.03 / $511.28 / $2,251.60	Professional		$409.03	$511.28	$2,251.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.40 / $921.84 / $1,547.40	Professional		$181.40	$921.84	$1,547.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $422.12 / $1,944.68 / $9,673.00	Facility		$422.12	$1,944.68	$9,673.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $518.83 / $2,217.03 / $4,299.55	Professional		$518.83	$2,217.03	$4,299.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $456.37 / $1,690.67 / $2,662.49	Facility		$456.37	$1,690.67	$2,662.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $422.12 / $1,690.67 / $2,629.94	Professional		$422.12	$1,690.67	$2,629.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $404.60 / $1,415.52	Professional		$204.78	$404.60	$1,415.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.45 / $1,902.42 / $3,148.51	Professional		$1,141.45	$1,902.42	$3,148.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $455.30 / $1,823.60	Professional		$387.00	$455.30	$1,823.60