Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,981.07 / $6,760.83	Facility		$741.31	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $2,041.74	Professional		$426.58	$588.84	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,348.96	Professional		$870.96	$1,071.52	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,995.26	Professional		$446.68	$676.08	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,230.27 / $7,079.46	Facility		$676.08	$1,230.27	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,023.29 / $4,786.30	Professional		$489.78	$1,023.29	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,513.56	Professional		$1,047.13	$1,174.90	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,174.90	Professional		$933.25	$933.25	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $1,023.29	Professional		$446.68	$794.33	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $7,762.47	Facility		$3,162.28	$5,495.41	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,318.26	Professional		$457.09	$794.33	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,071.52	Professional		$724.44	$912.01	$1,071.52