Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.67 / $2,612.50 / $6,066.00	Facility		$702.67	$2,612.50	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.06 / $477.74 / $1,456.00	Professional		$276.06	$477.74	$1,456.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.55 / $699.24 / $908.63	Professional		$358.55	$699.24	$908.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $228.93 / $395.34 / $645.92	Professional		$228.93	$395.34	$645.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.04 / $644.95 / $4,869.67	Facility		$350.04	$644.95	$4,869.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $327.31 / $606.30 / $1,835.28	Professional		$327.31	$606.30	$1,835.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $485.50 / $782.47 / $1,331.66	Facility		$485.50	$782.47	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $413.39 / $608.96 / $831.28	Professional		$413.39	$608.96	$831.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.58 / $453.62 / $1,459.54	Professional		$247.58	$453.62	$1,459.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.72 / $475.64 / $968.61	Professional		$324.72	$475.64	$968.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $447.60 / $526.60 / $672.40	Professional		$447.60	$526.60	$672.40