Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,691.53 / $6,760.83	Facility		$257.04	$2,691.53	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,513.56 / $2,951.21	Professional		$165.96	$1,513.56	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $4,265.80 / $5,370.32	Professional		$389.05	$4,265.80	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $2,570.40 / $3,981.07	Professional		$173.78	$2,570.40	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,041.74 / $4,570.88	Facility		$371.54	$2,041.74	$4,570.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $3,235.94 / $6,606.93	Professional		$467.74	$3,235.94	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $3,548.13 / $5,011.87	Professional		$380.19	$3,548.13	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $5,248.07	Professional		$467.74	$467.74	$5,248.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,698.24 / $4,677.35	Professional		$223.87	$1,698.24	$4,677.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $3,981.07	Professional		$338.84	$398.11	$3,981.07