Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.69 / $4,014.00 / $7,119.04	Facility		$898.69	$4,014.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.23 / $441.50 / $681.12	Professional		$276.23	$441.50	$681.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.67 / $824.46 / $1,227.67	Professional		$566.67	$824.46	$1,227.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $299.76 / $565.11 / $1,015.66	Professional		$299.76	$565.11	$1,015.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $473.00 / $799.37 / $5,567.24	Facility		$473.00	$799.37	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $463.39 / $859.54 / $2,916.97	Professional		$463.39	$859.54	$2,916.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $655.02 / $931.59 / $2,932.27	Facility		$655.02	$931.59	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $597.12 / $802.33 / $1,144.54	Professional		$597.12	$802.33	$1,144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $291.19 / $529.13 / $3,254.15	Professional		$291.19	$529.13	$3,254.15
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 $438.11 / $667.60 / $1,236.31	Professional		$438.11	$667.60	$1,236.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $679.50 / $966.40	Professional		$577.60	$679.50	$966.40