Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,290.87 / $6,760.83	Facility		$912.01	$2,290.87	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,479.11	Professional		$524.81	$645.65	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,479.11 / $1,862.09	Professional		$851.14	$1,479.11	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,862.09	Professional		$537.03	$851.14	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $3,548.13	Facility		$707.95	$1,412.54	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,288.25 / $4,365.16	Professional		$630.96	$1,288.25	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,698.24	Professional		$1,288.25	$1,445.44	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,698.24	Professional		$1,096.48	$1,202.26	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,445.44	Professional		$588.84	$1,047.13	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $4,365.16	Facility		$1,202.26	$2,137.96	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,621.81	Professional		$562.34	$831.76	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,479.11	Professional		$977.24	$1,258.93	$1,479.11