Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $3,388.44 / $6,760.83	Facility		$281.84	$3,388.44	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $2,344.23 / $7,079.46	Professional		$158.49	$2,344.23	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $5,623.41 / $7,762.47	Professional		$398.11	$5,623.41	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $3,715.35 / $10,000.00	Professional		$169.82	$3,715.35	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $7,413.10 / $14,791.08	Facility		$426.58	$7,413.10	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $5,128.61 / $10,232.93	Professional		$457.09	$5,128.61	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $5,128.61 / $7,585.78	Professional		$380.19	$5,128.61	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $467.74 / $8,128.31	Professional		$457.09	$467.74	$8,128.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7,943.28	Professional		$5.01	$5.01	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,715.19 / $15,488.17	Facility		$7,413.10	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $2,951.21 / $8,317.64	Professional		$204.17	$2,951.21	$8,317.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $5,623.41	Professional		$331.13	$389.05	$5,623.41