Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,981.07 / $6,760.83	Facility		$512.86	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,412.54	Professional		$1,122.02	$1,122.02	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $1,862.09	Professional		$467.74	$851.14	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,995.26 / $11,748.98	Facility		$512.86	$1,995.26	$11,748.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $912.01 / $1,258.93	Professional		$891.25	$912.01	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Professional		$912.01	$912.01	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $1,513.56	Professional		$5.01	$5.01	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $8,511.38 / $12,302.69	Facility		$6,456.54	$8,511.38	$12,302.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Professional		$891.25	$891.25	$1,047.13