Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,777.51 / $1,777.51 / $8,228.79	Professional		$1,777.51	$1,777.51	$8,228.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.91 / $833.64 / $2,916.76	Professional		$666.91	$833.64	$2,916.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $293.68 / $1,208.97 / $2,457.07	Professional		$293.68	$1,208.97	$2,457.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $738.95 / $2,470.91 / $12,871.00	Facility		$738.95	$2,470.91	$12,871.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $841.89 / $2,717.34 / $5,167.03	Professional		$841.89	$2,717.34	$5,167.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $741.95 / $2,137.69 / $3,251.81	Facility		$741.95	$2,137.69	$3,251.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $683.39 / $2,202.32 / $3,251.81	Professional		$683.39	$2,202.32	$3,251.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $649.72 / $1,852.01	Professional		$330.07	$649.72	$1,852.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,401.07 / $2,825.50 / $3,864.62	Professional		$1,401.07	$2,825.50	$3,864.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $626.50 / $737.10 / $2,375.40	Professional		$626.50	$737.10	$2,375.40