Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.92 / $5,108.00 / $10,659.22	Facility		$562.92	$5,108.00	$10,659.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $1,954.75 / $4,189.10	Professional		$296.27	$1,954.75	$4,189.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.66 / $671.00 / $5,829.62	Professional		$535.66	$671.00	$5,829.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $227.43 / $2,648.01 / $3,950.78	Professional		$227.43	$2,648.01	$3,950.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $601.03 / $3,869.81 / $10,320.00	Facility		$601.03	$3,869.81	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $647.02 / $4,186.16 / $15,390.40	Professional		$647.02	$4,186.16	$15,390.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $570.25 / $3,869.81 / $5,214.00	Facility		$570.25	$3,869.81	$5,214.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $535.66 / $3,171.08 / $5,788.78	Professional		$535.66	$3,171.08	$5,788.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $3,257.90 / $6,127.60	Professional		$4.00	$3,257.90	$6,127.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,096.96 / $3,689.62 / $5,935.88	Professional		$2,096.96	$3,689.62	$5,935.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $464.00 / $545.90 / $4,378.30	Professional		$464.00	$545.90	$4,378.30