Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,235.94 / $6,760.83	Facility		$812.83	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $1,202.26	Professional		$426.58	$524.81	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,513.56	Professional		$870.96	$1,202.26	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,513.56	Professional		$398.11	$707.95	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,258.93 / $8,128.31	Facility		$676.08	$1,258.93	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $933.25 / $3,801.89	Professional		$478.63	$933.25	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,380.38	Professional		$870.96	$1,071.52	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $891.25 / $1,380.38	Professional		$870.96	$891.25	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,148.15	Professional		$489.78	$870.96	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $8,912.51	Facility		$3,162.28	$5,495.41	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,318.26	Professional		$446.68	$691.83	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,174.90	Professional		$794.33	$1,000.00	$1,174.90