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 $354.81 / $501.19 / $1,148.15	Professional		$354.81	$501.19	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,479.11	Professional		$851.14	$1,096.48	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $1,258.93	Professional		$354.81	$630.96	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,174.90 / $7,079.46	Facility		$588.84	$1,174.90	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $1,584.89	Professional		$575.44	$954.99	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,348.96	Professional		$851.14	$1,023.29	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $1,096.48	Professional		$354.81	$630.96	$1,096.48
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 $426.58 / $616.60 / $1,230.27	Professional		$426.58	$616.60	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,047.13	Professional		$691.83	$812.83	$1,047.13