Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,801.89 / $6,760.83	Facility		$602.56	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $524.81 / $1,288.25	Professional		$275.42	$524.81	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,445.44	Professional		$776.25	$977.24	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $602.56 / $1,318.26	Professional		$309.03	$602.56	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,023.29 / $1,862.09	Facility		$562.34	$1,023.29	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,621.81	Professional		$575.44	$870.96	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,348.96	Professional		$724.44	$977.24	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $549.54 / $1,023.29	Professional		$295.12	$549.54	$1,023.29
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 $389.05 / $630.96 / $1,148.15	Professional		$389.05	$630.96	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,023.29	Professional		$588.84	$691.83	$1,023.29