Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,090.30 / $6,760.83	Facility		$630.96	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $1,071.52	Professional		$371.54	$457.09	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,071.52 / $1,318.26	Professional		$549.54	$1,071.52	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,023.29	Professional		$323.59	$575.44	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $977.24 / $3,548.13	Facility		$501.19	$977.24	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $870.96 / $3,019.95	Professional		$426.58	$870.96	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,202.26	Professional		$870.96	$1,000.00	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,202.26	Professional		$707.95	$812.83	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,023.29	Professional		$407.38	$741.31	$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 $380.19 / $549.54 / $1,096.48	Professional		$380.19	$549.54	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,047.13	Professional		$691.83	$891.25	$1,047.13