Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,235.94 / $6,760.83	Facility		$707.95	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $2,951.21	Professional		$407.38	$489.78	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,348.96	Professional		$812.83	$1,071.52	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $1,445.44	Professional		$389.05	$616.60	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,174.90 / $8,128.31	Facility		$602.56	$1,174.90	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $3,388.44	Professional		$436.52	$851.14	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,230.27	Professional		$851.14	$1,023.29	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,230.27	Professional		$851.14	$851.14	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $954.99	Professional		$416.87	$741.31	$954.99
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 $426.58 / $630.96 / $1,202.26	Professional		$426.58	$630.96	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,047.13	Professional		$707.95	$891.25	$1,047.13