Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,090.30 / $6,760.83	Facility		$602.56	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $724.44 / $2,570.40	Professional		$302.00	$724.44	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,905.46	Professional		$724.44	$912.01	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $724.44 / $1,659.59	Professional		$295.12	$724.44	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,071.52 / $1,819.70	Facility		$537.03	$1,071.52	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $2,041.74	Professional		$645.65	$977.24	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,659.59	Professional		$691.83	$1,148.15	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $602.56 / $1,288.25	Professional		$269.15	$602.56	$1,288.25
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 $371.54 / $707.95 / $1,412.54	Professional		$371.54	$707.95	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,348.96	Professional		$562.34	$660.69	$1,348.96