Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,897.79 / $10,000.00	Facility		$478.63	$4,897.79	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,819.70 / $7,079.46	Professional		$239.88	$1,819.70	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $933.25 / $6,025.60	Professional		$549.54	$933.25	$6,025.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $2,884.03 / $4,168.69	Professional		$239.88	$2,884.03	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,168.69 / $12,022.64	Facility		$602.56	$4,168.69	$12,022.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $3,388.44 / $8,128.31	Professional		$602.56	$3,388.44	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $3,890.45 / $5,754.40	Professional		$537.03	$3,890.45	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $676.08 / $5,888.44	Professional		$660.69	$676.08	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3,548.13 / $6,165.95	Professional		$3.98	$3,548.13	$6,165.95
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 $302.00 / $1,698.24 / $5,011.87	Professional		$302.00	$1,698.24	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $4,365.16	Professional		$467.74	$549.54	$4,365.16