Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,090.30 / $6,025.60	Facility		$489.78	$3,090.30	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $1,819.70	Professional		$309.03	$524.81	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,445.44	Professional		$562.34	$912.01	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $1,148.15	Professional		$309.03	$588.84	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $954.99 / $5,248.07	Facility		$501.19	$954.99	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $2,630.27	Professional		$478.63	$891.25	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,288.25	Professional		$724.44	$831.76	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,288.25	Professional		$602.56	$870.96	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,122.02	Professional		$323.59	$602.56	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,413.10	Facility		$2,951.21	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $1,148.15	Professional		$338.84	$549.54	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,122.02	Professional		$616.60	$724.44	$1,122.02