Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,801.89 / $6,760.83	Facility		$758.58	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $3,019.95	Professional		$436.52	$645.65	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,905.46	Professional		$1,096.48	$1,479.11	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $954.99 / $2,398.83	Professional		$467.74	$954.99	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,659.59 / $8,317.64	Facility		$851.14	$1,659.59	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,230.27 / $4,466.84	Professional		$676.08	$1,230.27	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,659.59	Professional		$1,047.13	$1,258.93	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,698.24	Professional		$933.25	$1,258.93	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,548.82 / $1,862.09	Professional		$5.01	$1,548.82	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,309.57 / $8,912.51	Facility		$4,365.16	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $1,584.89	Professional		$524.81	$891.25	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,445.44	Professional		$891.25	$1,047.13	$1,445.44