Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,467.37 / $6,456.54	Facility		$416.87	$3,467.37	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $1,148.15	Professional		$239.88	$457.09	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,230.27	Professional		$645.65	$794.33	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $977.24	Professional		$257.04	$501.19	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $891.25 / $1,862.09	Facility		$467.74	$891.25	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,318.26	Professional		$467.74	$724.44	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,148.15	Professional		$602.56	$776.25	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $870.96	Professional		$245.47	$457.09	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,398.83	Facility		$1,071.52	$1,698.24	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $977.24	Professional		$323.59	$489.78	$977.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $870.96	Professional		$489.78	$588.84	$870.96