Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,897.79 / $7,943.28	Facility		$602.56	$4,897.79	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $1,659.59	Professional		$275.42	$467.74	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $870.96	Professional		$691.83	$758.58	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $676.08 / $2,089.30	Professional		$309.03	$676.08	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,715.35 / $12,589.25	Facility		$630.96	$3,715.35	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $691.83 / $4,786.30	Professional		$389.05	$691.83	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $1,445.44	Professional		$676.08	$758.58	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $831.76	Professional		$758.58	$831.76	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $758.58 / $912.01	Professional		$3.98	$758.58	$912.01
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 $331.13 / $588.84 / $977.24	Professional		$331.13	$588.84	$977.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $691.83	Professional		$588.84	$588.84	$691.83