Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,090.30 / $6,760.83	Facility		$616.60	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $1,862.09	Professional		$288.40	$501.19	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,318.26	Professional		$691.83	$891.25	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $537.03 / $1,000.00	Professional		$288.40	$537.03	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,023.29 / $5,128.61	Facility		$489.78	$1,023.29	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $776.25 / $1,380.38	Professional		$416.87	$776.25	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,122.02	Professional		$676.08	$831.76	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $977.24	Professional		$295.12	$537.03	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $1,023.29	Professional		$338.84	$501.19	$1,023.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $933.25	Professional		$562.34	$660.69	$933.25