Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $5,011.87 / $7,943.28	Facility		$426.58	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,479.11 / $2,570.40	Professional		$316.23	$1,479.11	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $4,786.30	Professional		$794.33	$977.24	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $3,235.94 / $6,165.95	Professional		$346.74	$3,235.94	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,466.84 / $12,302.69	Facility		$776.25	$4,466.84	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,548.13 / $8,912.51	Professional		$954.99	$3,548.13	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $3,467.37 / $5,011.87	Professional		$776.25	$3,467.37	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $5,011.87	Professional		$676.08	$954.99	$5,011.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4,466.84 / $4,897.79	Professional		$3.02	$4,466.84	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,000.00 / $13,182.57	Facility		$6,606.93	$10,000.00	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,659.59 / $4,786.30	Professional		$407.38	$1,659.59	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $3,548.13	Professional		$660.69	$776.25	$3,548.13