Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.92 / $3,489.13 / $6,298.62	Facility		$377.92	$3,489.13	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $868.66 / $2,219.71	Professional		$113.68	$868.66	$2,219.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $1,107.64 / $3,446.85	Professional		$158.51	$1,107.64	$3,446.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $1,127.83 / $1,796.10	Professional		$133.79	$1,127.83	$1,796.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.91 / $1,551.32 / $3,524.60	Facility		$198.91	$1,551.32	$3,524.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,098.00 / $2,420.87 / $5,160.85	Professional		$1,098.00	$2,420.87	$5,160.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $1,796.77 / $3,133.44	Facility		$257.64	$1,796.77	$3,133.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $1,796.77 / $3,488.92	Professional		$257.64	$1,796.77	$3,488.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $3,663.40	Professional		$6.00	$6.00	$3,663.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $3,482.00 / $5,454.00	Facility		$1,321.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,207.58 / $1,756.80 / $3,574.32	Professional		$1,207.58	$1,756.80	$3,574.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $227.20 / $278.00 / $2,714.20	Professional		$227.20	$278.00	$2,714.20