Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.89 / $3,167.00 / $6,298.62	Facility		$804.89	$3,167.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $423.63 / $662.91	Professional		$283.70	$423.63	$662.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.71 / $780.11 / $1,112.17	Professional		$402.71	$780.11	$1,112.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $258.27 / $491.92 / $936.02	Professional		$258.27	$491.92	$936.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.63 / $790.99 / $4,869.67	Facility		$423.63	$790.99	$4,869.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.83 / $736.97 / $2,082.88	Professional		$443.83	$736.97	$2,082.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $616.42 / $921.92 / $1,331.66	Facility		$616.42	$921.92	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $553.05 / $736.97 / $1,048.23	Professional		$553.05	$736.97	$1,048.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.72 / $501.00 / $1,459.54	Professional		$266.72	$501.00	$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 $407.08 / $555.11 / $1,013.38	Professional		$407.08	$555.11	$1,013.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $502.20 / $590.79 / $815.40	Professional		$502.20	$590.79	$815.40