Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,235.94 / $6,760.83	Facility		$707.95	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,230.27	Professional		$446.68	$549.54	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,412.54	Professional		$1,071.52	$1,148.15	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,819.70	Professional		$489.78	$831.76	$1,819.70
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 $562.34 / $977.24 / $4,466.84	Professional		$562.34	$977.24	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,621.81	Professional		$1,071.52	$1,148.15	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,288.25	Professional		$912.01	$1,288.25	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $933.25 / $1,202.26	Professional		$3.98	$933.25	$1,202.26
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 $512.86 / $794.33 / $1,513.56	Professional		$512.86	$794.33	$1,513.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,122.02	Professional		$933.25	$933.25	$1,122.02