Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,235.94 / $6,760.83	Facility		$870.96	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $1,318.26	Professional		$457.09	$549.54	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,548.82	Professional		$1,096.48	$1,230.27	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $2,511.89	Professional		$524.81	$912.01	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,677.35 / $9,549.93	Facility		$645.65	$4,677.35	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $2,238.72	Professional		$562.34	$1,000.00	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,778.28	Professional		$870.96	$1,096.48	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $1,202.26	Professional		$5.01	$5.01	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $7,585.78 / $10,232.93	Facility		$4,677.35	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,548.82	Professional		$537.03	$812.83	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,174.90	Professional		$1,000.00	$1,000.00	$1,174.90