Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,511.89 / $6,760.83	Facility		$588.84	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $954.99	Professional		$338.84	$416.87	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $1,230.27	Professional		$489.78	$954.99	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $512.86 / $1,202.26	Professional		$295.12	$512.86	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $758.58 / $1,348.96	Facility		$389.05	$758.58	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $812.83 / $2,754.23	Professional		$389.05	$812.83	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,096.48	Professional		$741.31	$912.01	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $1,096.48	Professional		$660.69	$724.44	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $933.25	Professional		$380.19	$676.08	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,344.23	Facility		$537.03	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $1,000.00	Professional		$346.74	$501.19	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $954.99	Professional		$630.96	$812.83	$954.99