Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,090.30 / $6,760.83	Facility		$707.95	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,348.96	Professional		$407.38	$602.56	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $977.24 / $1,584.89	Professional		$478.63	$977.24	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $1,513.56	Professional		$371.54	$616.60	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,348.96 / $9,549.93	Facility		$707.95	$1,348.96	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $3,090.30	Professional		$616.60	$1,071.52	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,445.44	Professional		$891.25	$1,096.48	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,122.02	Professional		$363.08	$645.65	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,128.31 / $10,964.78	Facility		$5,128.61	$8,128.31	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,288.25	Professional		$446.68	$691.83	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,202.26	Professional		$776.25	$912.01	$1,202.26