Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,235.94 / $6,760.83	Facility		$851.14	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,380.38	Professional		$436.52	$562.34	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,584.89	Professional		$891.25	$1,258.93	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $2,137.96	Professional		$416.87	$707.95	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $1,621.81	Facility		$457.09	$954.99	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $3,981.07	Professional		$501.19	$954.99	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,445.44	Professional		$891.25	$1,174.90	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $933.25 / $1,445.44	Professional		$912.01	$933.25	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $933.25 / $1,202.26	Professional		$524.81	$933.25	$1,202.26
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 $467.74 / $724.44 / $1,380.38	Professional		$467.74	$724.44	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,258.93	Professional		$831.76	$1,071.52	$1,258.93