Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,162.28 / $6,760.83	Facility		$691.83	$3,162.28	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,995.26	Professional		$436.52	$660.69	$1,995.26
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 / $2,089.30	Professional		$467.74	$831.76	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,951.21 / $9,332.54	Facility		$870.96	$2,951.21	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $3,890.45	Professional		$549.54	$954.99	$3,890.45
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 $3.02 / $977.24 / $1,148.15	Professional		$3.02	$977.24	$1,148.15
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 / $794.33 / $1,513.56	Professional		$501.19	$794.33	$1,513.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Professional		$891.25	$891.25	$1,047.13