Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,548.13 / $6,456.54	Facility		$537.03	$3,548.13	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $794.33 / $4,570.88	Professional		$165.96	$794.33	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,778.28 / $2,238.72	Professional		$407.38	$1,778.28	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,071.52 / $2,951.21	Professional		$165.96	$1,071.52	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,995.26 / $5,011.87	Facility		$436.52	$1,995.26	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,737.80 / $3,019.95	Professional		$478.63	$1,737.80	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,584.89 / $2,187.76	Professional		$389.05	$1,584.89	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $2,344.23	Professional		$478.63	$478.63	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $660.69 / $1,513.56	Professional		$162.18	$660.69	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $794.33 / $2,344.23	Professional		$223.87	$794.33	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $1,548.82	Professional		$316.23	$371.54	$1,548.82