Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,370.32 / $7,943.28	Facility		$758.58	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $2,290.87	Professional		$416.87	$537.03	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,202.26 / $1,513.56	Professional		$489.78	$1,202.26	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $3,388.44 / $8,128.31	Professional		$436.52	$3,388.44	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,023.29 / $5,888.44	Facility		$489.78	$1,023.29	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,023.29 / $16,595.87	Professional		$537.03	$1,023.29	$16,595.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,348.96	Professional		$891.25	$1,174.90	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $4,265.80	Professional		$1,148.15	$1,174.90	$4,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,548.82	Professional		$524.81	$831.76	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,168.69 / $4,897.79	Professional		$3,235.94	$4,168.69	$4,897.79