Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,786.30 / $7,079.46	Facility		$691.83	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $1,174.90	Professional		$436.52	$537.03	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,380.38	Professional		$1,047.13	$1,096.48	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $1,737.80	Professional		$467.74	$794.33	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,951.21 / $9,332.54	Facility		$831.76	$2,951.21	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $8,317.64	Professional		$537.03	$954.99	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,445.44	Professional		$954.99	$1,096.48	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,258.93	Professional		$891.25	$1,258.93	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $891.25 / $1,174.90	Professional		$6.03	$891.25	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,456.54 / $9,332.54	Facility		$4,365.16	$6,456.54	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,479.11	Professional		$501.19	$758.58	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,071.52	Professional		$912.01	$912.01	$1,071.52