Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,235.94 / $6,760.83	Facility		$812.83	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $1,412.54	Professional		$512.86	$630.96	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $1,621.81	Professional		$1,230.27	$1,318.26	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $2,089.30	Professional		$562.34	$954.99	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,073.80 / $13,803.84	Facility		$954.99	$4,073.80	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,122.02 / $4,168.69	Professional		$645.65	$1,122.02	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,819.70	Professional		$1,202.26	$1,318.26	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,479.11	Professional		$1,047.13	$1,479.11	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,047.13 / $1,380.38	Professional		$3.02	$1,047.13	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $8,511.38 / $14,125.38	Facility		$5,495.41	$8,511.38	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,737.80	Professional		$588.84	$912.01	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,288.25	Professional		$1,071.52	$1,071.52	$1,288.25