Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,511.89 / $6,760.83	Facility		$467.74	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $1,819.70	Professional		$288.40	$407.38	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $954.99	Professional		$602.56	$776.25	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $1,202.26	Professional		$309.03	$467.74	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $851.14 / $6,025.60	Facility		$467.74	$851.14	$6,025.60
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	AS	$501.19	$501.19	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $630.96 / $3,235.94	Professional		$323.59	$630.96	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $870.96	Professional		$645.65	$741.31	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $870.96	Professional		$602.56	$645.65	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $707.95	Professional		$309.03	$549.54	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $7,413.10	Facility		$3,019.95	$5,370.32	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $912.01	Professional		$309.03	$467.74	$912.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $758.58	Professional		$501.19	$630.96	$758.58