Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,511.89 / $6,760.83	Facility		$575.44	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $933.25	Professional		$331.13	$407.38	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $912.01 / $1,174.90	Professional		$501.19	$912.01	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $1,202.26	Professional		$309.03	$512.86	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $758.58 / $1,348.96	Facility		$389.05	$758.58	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $794.33 / $2,754.23	Professional		$380.19	$794.33	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,071.52	Professional		$758.58	$912.01	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $1,071.52	Professional		$660.69	$741.31	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $912.01	Professional		$371.54	$660.69	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,344.23	Facility		$537.03	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $1,000.00	Professional		$346.74	$501.19	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $933.25	Professional		$616.60	$794.33	$933.25