Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,235.94 / $6,456.54	Facility		$602.56	$3,235.94	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $537.03 / $1,737.80	Professional		$173.78	$537.03	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,698.24 / $2,137.96	Professional		$389.05	$1,698.24	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,148.15 / $3,162.28	Professional		$173.78	$1,148.15	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,778.28 / $8,511.38	Facility		$416.87	$1,778.28	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,348.96 / $5,370.32	Professional		$457.09	$1,348.96	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,513.56 / $2,041.74	Professional		$398.11	$1,513.56	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $2,089.30	Professional		$389.05	$467.74	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,479.11 / $2,089.30	Professional		$3.02	$1,479.11	$2,089.30
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 $204.17 / $691.83 / $2,137.96	Professional		$204.17	$691.83	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $1,584.89	Professional		$331.13	$389.05	$1,584.89