Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,981.07 / $6,760.83	Facility		$691.83	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $1,995.26	Professional		$512.86	$616.60	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,621.81	Professional		$1,230.27	$1,288.25	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $2,511.89	Professional		$562.34	$954.99	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,589.25	Facility		$977.24	$3,715.35	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,071.52 / $5,248.07	Professional		$630.96	$1,071.52	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,698.24	Professional		$1,148.15	$1,258.93	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $1,513.56	Professional		$1,023.29	$1,479.11	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,023.29 / $1,445.44	Professional		$6.03	$1,023.29	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $8,511.38 / $13,182.57	Facility		$5,495.41	$8,511.38	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,698.24	Professional		$575.44	$851.14	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,258.93	Professional		$1,071.52	$1,071.52	$1,258.93