Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,370.32 / $7,943.28	Facility		$954.99	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,949.84	Professional		$707.95	$812.83	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,238.72	Professional		$1,737.80	$1,819.70	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $2,754.23	Professional		$776.25	$1,318.26	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $6,606.93	Facility		$1,071.52	$1,949.84	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $5,888.44	Professional		$912.01	$1,548.82	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,778.28 / $2,630.27	Professional		$1,737.80	$1,778.28	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,137.96	Professional		$1,513.56	$2,137.96	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,513.56 / $1,995.26	Professional		$6.03	$1,513.56	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,344.23	Professional		$831.76	$1,202.26	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,778.28	Professional		$1,513.56	$1,513.56	$1,778.28