Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $3,237.00 / $8,774.99	Facility		$696.00	$3,237.00	$8,774.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.18 / $2,792.59 / $4,618.42	Professional		$223.18	$2,792.59	$4,618.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.57 / $5,325.45 / $7,886.27	Professional		$530.57	$5,325.45	$7,886.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $307.80 / $3,435.64 / $9,061.95	Professional		$307.80	$3,435.64	$9,061.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $596.62 / $6,764.85 / $13,238.00	Facility		$596.62	$6,764.85	$13,238.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $649.73 / $6,006.51 / $15,580.61	Professional		$649.73	$6,006.51	$15,580.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $544.55 / $6,350.31 / $8,980.02	Facility		$544.55	$6,350.31	$8,980.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $530.57 / $5,325.45 / $8,980.02	Professional		$530.57	$5,325.45	$8,980.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $8,131.20	Professional		$5.00	$5.00	$8,131.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $3,854.45 / $6,635.68 / $10,456.15	Professional		$3,854.45	$6,635.68	$10,456.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $459.60 / $540.70 / $5,883.20	Professional		$459.60	$540.70	$5,883.20