Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.49 / $4,014.00 / $7,119.04	Facility		$709.49	$4,014.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.61 / $507.01 / $1,800.00	Professional		$286.61	$507.01	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.47 / $700.22 / $1,134.02	Professional		$383.47	$700.22	$1,134.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $224.35 / $473.58 / $912.00	Professional		$224.35	$473.58	$912.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $373.42 / $689.96 / $1,623.00	Facility		$373.42	$689.96	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.64 / $662.08 / $1,830.88	Professional		$430.64	$662.08	$1,830.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $641.73 / $1,073.68	Facility		$528.54	$641.73	$1,073.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $719.53 / $1,087.38	Professional		$493.00	$719.53	$1,087.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $228.60 / $430.29 / $752.31	Professional		$228.60	$430.29	$752.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.27 / $566.75 / $987.51	Professional		$416.27	$566.75	$987.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $438.70 / $516.10 / $822.40	Professional		$438.70	$516.10	$822.40