Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.65 / $3,167.00 / $6,298.62	Facility		$941.65	$3,167.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $472.85 / $848.30	Professional		$292.30	$472.85	$848.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.58 / $895.97 / $1,422.83	Professional		$607.58	$895.97	$1,422.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $666.77 / $1,087.39	Professional		$312.60	$666.77	$1,087.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $495.61 / $864.52 / $4,033.83	Facility		$495.61	$864.52	$4,033.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $503.09 / $908.98 / $3,257.59	Professional		$503.09	$908.98	$3,257.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $719.80 / $1,065.40 / $1,344.69	Facility		$719.80	$1,065.40	$1,344.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $633.37 / $870.05 / $1,277.85	Professional		$633.37	$870.05	$1,277.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $326.35 / $600.41 / $1,459.54	Professional		$326.35	$600.41	$1,459.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.70 / $727.92 / $1,355.75	Professional		$477.70	$727.92	$1,355.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $620.60 / $730.10 / $1,128.70	Professional		$620.60	$730.10	$1,128.70