Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,290.87 / $6,456.54	Facility		$602.56	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $691.83 / $4,466.84	Professional		$204.17	$691.83	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,230.27	Professional		$436.52	$758.58	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $457.09 / $1,000.00	Professional		$173.78	$457.09	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $630.96 / $1,621.81	Facility		$288.40	$630.96	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,318.26	Professional		$407.38	$645.65	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $758.58 / $1,071.52	Professional		$407.38	$758.58	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $371.54 / $831.76	Professional		$162.18	$371.54	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $912.01	Professional		$218.78	$446.68	$912.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $870.96	Professional		$338.84	$398.11	$870.96