Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,570.40 / $6,760.83	Facility		$724.44	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $1,778.28	Professional		$380.19	$467.74	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,348.96	Professional		$776.25	$1,071.52	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,122.02	Professional		$354.81	$602.56	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $794.33 / $1,621.81	Facility		$407.38	$794.33	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $794.33 / $3,388.44	Professional		$407.38	$794.33	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,230.27	Professional		$776.25	$954.99	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $812.83 / $1,230.27	Professional		$776.25	$812.83	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $1,023.29	Professional		$446.68	$794.33	$1,023.29
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 $389.05 / $588.84 / $1,122.02	Professional		$389.05	$588.84	$1,122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,071.52	Professional		$707.95	$912.01	$1,071.52