Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $6,760.83	Facility		$676.08	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $1,584.89	Professional		$398.11	$512.86	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,412.54	Professional		$588.84	$1,071.52	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,174.90	Professional		$380.19	$602.56	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,047.13 / $3,548.13	Facility		$537.03	$1,047.13	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $912.01 / $3,235.94	Professional		$457.09	$912.01	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,288.25	Professional		$776.25	$1,047.13	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $1,288.25	Professional		$776.25	$831.76	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,096.48	Professional		$436.52	$776.25	$1,096.48
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 $407.38 / $588.84 / $1,174.90	Professional		$407.38	$588.84	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,096.48	Professional		$741.31	$933.25	$1,096.48