Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.28 / $2,632.48 / $6,408.55	Facility		$739.28	$2,632.48	$6,408.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $562.01 / $1,964.00	Professional		$269.77	$562.01	$1,964.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.70 / $729.43 / $1,219.29	Professional		$411.70	$729.43	$1,219.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $236.34 / $509.98 / $972.87	Professional		$236.34	$509.98	$972.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.10 / $728.26 / $1,623.00	Facility		$389.10	$728.26	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.84 / $718.87 / $1,914.08	Professional		$460.84	$718.87	$1,914.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $656.58 / $1,142.29	Facility		$528.54	$656.58	$1,142.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $520.36 / $720.76 / $1,162.96	Professional		$520.36	$720.76	$1,162.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $235.73 / $441.68 / $770.96	Professional		$235.73	$441.68	$770.96
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 $445.99 / $646.50 / $1,323.57	Professional		$445.99	$646.50	$1,323.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $459.50 / $540.60 / $883.00	Professional		$459.50	$540.60	$883.00