Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,951.21 / $6,025.60	Facility		$812.83	$2,951.21	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $724.44 / $2,511.89	Professional		$338.84	$724.44	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $2,041.74	Professional		$812.83	$1,318.26	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $758.58 / $1,819.70	Professional		$323.59	$758.58	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,148.15 / $1,862.09	Facility		$537.03	$1,148.15	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $2,187.76	Professional		$707.95	$1,096.48	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $1,778.28	Professional		$776.25	$1,258.93	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $645.65 / $1,380.38	Professional		$302.00	$645.65	$1,380.38
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 $416.87 / $758.58 / $1,513.56	Professional		$416.87	$758.58	$1,513.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,412.54	Professional		$630.96	$741.31	$1,412.54