Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,570.40 / $6,760.83	Facility		$676.08	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,148.15	Professional		$426.58	$537.03	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $1,318.26	Professional		$1,071.52	$1,122.02	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $1,778.28	Professional		$467.74	$831.76	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,388.44 / $13,489.63	Facility		$691.83	$3,388.44	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $3,467.37	Professional		$549.54	$954.99	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,698.24	Professional		$1,023.29	$1,122.02	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,258.93	Professional		$891.25	$1,230.27	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $933.25 / $1,148.15	Professional		$6.03	$933.25	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,165.95 / $14,125.38	Facility		$3,162.28	$6,165.95	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,479.11	Professional		$501.19	$794.33	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Professional		$891.25	$891.25	$1,047.13