Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $6,760.83	Facility		$630.96	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $1,023.29	Professional		$363.08	$457.09	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $1,318.26	Professional		$562.34	$1,000.00	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,148.15	Professional		$354.81	$562.34	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $3,548.13	Facility		$501.19	$1,000.00	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $891.25 / $3,019.95	Professional		$426.58	$891.25	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,202.26	Professional		$891.25	$1,000.00	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,202.26	Professional		$741.31	$831.76	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $1,023.29	Professional		$407.38	$724.44	$1,023.29
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 $389.05 / $562.34 / $1,122.02	Professional		$389.05	$562.34	$1,122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,023.29	Professional		$691.83	$870.96	$1,023.29