Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,570.40 / $6,760.83	Facility		$512.86	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $1,479.11	Professional		$323.59	$512.86	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,071.52	Professional		$630.96	$851.14	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $2,570.40	Professional		$309.03	$512.86	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $933.25 / $6,025.60	Facility		$512.86	$933.25	$6,025.60
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	62	$3,090.30	$3,090.30	$3,090.30
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 $354.81 / $676.08 / $4,168.69	Professional		$354.81	$676.08	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $977.24	Professional		$630.96	$831.76	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $707.95 / $977.24	Professional		$691.83	$707.95	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $891.25	Professional		$380.19	$676.08	$891.25
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 $338.84 / $489.78 / $1,000.00	Professional		$338.84	$489.78	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $851.14	Professional		$575.44	$724.44	$851.14