Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,019.95 / $6,456.54	Facility		$602.56	$3,019.95	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $1,905.46	Professional		$302.00	$489.78	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,548.82	Professional		$741.31	$954.99	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $630.96 / $2,137.96	Professional		$302.00	$630.96	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,148.15 / $7,079.46	Facility		$537.03	$1,148.15	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,584.89	Professional		$512.86	$831.76	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,348.96	Professional		$741.31	$870.96	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $616.60 / $1,174.90	Professional		$331.13	$616.60	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,309.57 / $8,912.51	Facility		$3,801.89	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $1,174.90	Professional		$354.81	$575.44	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,096.48	Professional		$602.56	$707.95	$1,096.48