Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,090.30 / $6,760.83	Facility		$794.33	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $1,230.27	Professional		$457.09	$562.34	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,258.93 / $1,621.81	Professional		$707.95	$1,258.93	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,659.59	Professional		$446.68	$707.95	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,230.27 / $3,548.13	Facility		$616.60	$1,230.27	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,096.48 / $3,715.35	Professional		$537.03	$1,096.48	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,479.11	Professional		$1,096.48	$1,230.27	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,479.11	Professional		$933.25	$1,023.29	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $912.01 / $1,258.93	Professional		$512.86	$912.01	$1,258.93
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 $478.63 / $691.83 / $1,412.54	Professional		$478.63	$691.83	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,288.25	Professional		$851.14	$1,096.48	$1,288.25