Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,570.40 / $6,760.83	Facility		$831.76	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,258.93	Professional		$436.52	$616.60	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $1,445.44	Professional		$1,148.15	$1,174.90	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $3,890.45	Professional		$501.19	$891.25	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,951.21 / $9,332.54	Facility		$933.25	$2,951.21	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $7,585.78	Professional		$575.44	$1,000.00	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,737.80	Professional		$1,096.48	$1,174.90	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,318.26	Professional		$933.25	$1,318.26	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $933.25 / $1,258.93	Professional		$3.02	$933.25	$1,258.93
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 $537.03 / $812.83 / $1,584.89	Professional		$537.03	$812.83	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,122.02	Professional		$954.99	$954.99	$1,122.02