Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,290.87 / $6,760.83	Facility		$870.96	$2,290.87	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $1,348.96	Professional		$501.19	$602.56	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,380.38 / $1,737.80	Professional		$776.25	$1,380.38	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,659.59	Professional		$478.63	$776.25	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,318.26 / $3,548.13	Facility		$676.08	$1,318.26	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,202.26 / $4,073.80	Professional		$575.44	$1,202.26	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,584.89	Professional		$1,202.26	$1,348.96	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,584.89	Professional		$1,023.29	$1,096.48	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,000.00 / $1,348.96	Professional		$549.54	$1,000.00	$1,348.96
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 $524.81 / $758.58 / $1,513.56	Professional		$524.81	$758.58	$1,513.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,348.96	Professional		$912.01	$1,148.15	$1,348.96