Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,511.89 / $6,760.83	Facility		$537.03	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $870.96	Professional		$309.03	$380.19	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,096.48	Professional		$478.63	$851.14	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,737.80	Professional		$302.00	$478.63	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $831.76 / $3,981.07	Facility		$426.58	$831.76	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $758.58 / $2,570.40	Professional		$363.08	$758.58	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,000.00	Professional		$707.95	$851.14	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $676.08 / $1,000.00	Professional		$630.96	$676.08	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $851.14	Professional		$354.81	$645.65	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $5,248.07	Facility		$1,819.70	$3,890.45	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $933.25	Professional		$323.59	$467.74	$933.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $851.14	Professional		$575.44	$724.44	$851.14