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 / $524.81 / $1,148.15	Professional		$426.58	$524.81	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,318.26	Professional		$1,047.13	$1,096.48	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,737.80	Professional		$457.09	$812.83	$1,737.80
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 $1,000.00 / $1,122.02 / $1,659.59	Professional		$1,000.00	$1,122.02	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $1,230.27	Professional		$870.96	$1,230.27	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $912.01 / $1,122.02	Professional		$6.03	$912.01	$1,122.02
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