Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,981.07 / $6,760.83	Facility		$870.96	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,778.28	Professional		$645.65	$741.31	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $2,041.74	Professional		$1,584.89	$1,621.81	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $2,398.83	Professional		$707.95	$1,174.90	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,715.35 / $19,054.61	Facility		$954.99	$3,715.35	$19,054.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $5,248.07	Professional		$812.83	$1,412.54	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $2,398.83	Professional		$1,548.82	$1,621.81	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $1,949.84	Professional		$1,380.38	$1,905.46	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,380.38 / $1,819.70	Professional		$6.03	$1,380.38	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,089.30	Professional		$758.58	$1,096.48	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,584.89	Professional		$1,348.96	$1,348.96	$1,584.89