Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.82 / $410.82 / $410.82	Facility		$410.82	$410.82	$410.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.39 / $2,530.16 / $3,314.03	Professional		$435.39	$2,530.16	$3,314.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,290.61 / $1,329.34 / $1,368.06	Facility		$1,290.61	$1,329.34	$1,368.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.82 / $719.85 / $6,627.44	Professional		$255.82	$719.85	$6,627.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $272.91 / $436.42 / $762.30	Professional		$272.91	$436.42	$762.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.27 / $1,323.17 / $8,400.95	Facility		$86.27	$1,323.17	$8,400.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.32 / $1,681.07 / $4,824.77	Professional		$274.32	$1,681.07	$4,824.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $712.56 / $3,828.74	Facility		$81.84	$712.56	$3,828.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $509.09 / $6,068.31	Professional		$77.04	$509.09	$6,068.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,475.50 / $4,475.50 / $4,475.50	Professional		$4,475.50	$4,475.50	$4,475.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,202.03 / $3,863.24 / $5,723.32	Facility		$2,202.03	$3,863.24	$5,723.32
United Facility/Professional Professional Modifier Low / Median / High Price $710.51 / $1,822.63 / $3,257.95	Professional		$710.51	$1,822.63	$3,257.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,404.49 / $5,575.30 / $6,559.20	Professional		$4,404.49	$5,575.30	$6,559.20