Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,467.37 / $6,456.54	Facility		$602.56	$3,467.37	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $537.03 / $1,819.70	Professional		$234.42	$537.03	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,380.38	Professional		$691.83	$870.96	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $562.34 / $1,318.26	Professional		$275.42	$562.34	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $1,862.09	Facility		$537.03	$1,023.29	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,548.82	Professional		$537.03	$831.76	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,258.93	Professional		$660.69	$1,000.00	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $977.24	Professional		$263.03	$489.78	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,344.23	Facility		$758.58	$1,318.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $1,096.48	Professional		$354.81	$616.60	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $977.24	Professional		$537.03	$630.96	$977.24