Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,235.94 / $6,760.83	Facility		$562.34	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $1,148.15	Professional		$407.38	$467.74	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,318.26	Professional		$1,000.00	$1,047.13	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $1,258.93	Professional		$446.68	$741.31	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,951.21 / $8,709.64	Facility		$660.69	$2,951.21	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $3,388.44	Professional		$512.86	$870.96	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,380.38	Professional		$912.01	$1,000.00	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,230.27	Professional		$851.14	$1,230.27	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $851.14 / $1,174.90	Professional		$3.98	$851.14	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,309.57 / $8,912.51	Facility		$4,265.80	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,288.25	Professional		$467.74	$691.83	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,023.29	Professional		$870.96	$870.96	$1,023.29