Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,801.89 / $6,760.83	Facility		$562.34	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,479.11 / $3,311.31	Professional		$416.87	$1,479.11	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $4,677.35	Professional		$1,047.13	$1,318.26	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $3,235.94 / $4,897.79	Professional		$446.68	$3,235.94	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,265.80 / $12,302.69	Facility		$1,000.00	$4,265.80	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,467.37 / $7,413.10	Professional		$1,230.27	$3,467.37	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,467.37 / $4,786.30	Professional		$1,000.00	$3,467.37	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $4,897.79	Professional		$851.14	$1,230.27	$4,897.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4,073.80 / $4,897.79	Professional		$3.98	$4,073.80	$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 $512.86 / $1,659.59 / $4,677.35	Professional		$512.86	$1,659.59	$4,677.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $3,467.37	Professional		$870.96	$1,023.29	$3,467.37