Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.78 / $3,000.31 / $6,298.62	Facility		$639.78	$3,000.31	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $400.42 / $1,403.00	Professional		$206.59	$400.42	$1,403.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.53 / $616.46 / $873.57	Professional		$364.53	$616.46	$873.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.97 / $405.02 / $820.18	Professional		$207.97	$405.02	$820.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $336.73 / $645.99 / $4,033.83	Facility		$336.73	$645.99	$4,033.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $596.00 / $1,658.32	Professional		$342.00	$596.00	$1,658.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $489.80 / $764.22 / $1,331.66	Facility		$489.80	$764.22	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $428.46 / $615.95 / $834.21	Professional		$428.46	$615.95	$834.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,562.54 / $1,562.54 / $1,562.54	Facility		$1,562.54	$1,562.54	$1,562.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $473.44 / $843.76	Professional		$326.80	$473.44	$843.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $469.40 / $649.40	Professional		$399.00	$469.40	$649.40