Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,981.07 / $6,760.83	Facility		$630.96	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $977.24	Professional		$363.08	$446.68	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,148.15	Professional		$741.31	$912.01	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,621.81	Professional		$380.19	$562.34	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $17,782.79	Facility		$630.96	$1,047.13	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $812.83 / $3,981.07	Professional		$416.87	$812.83	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,047.13	Professional		$851.14	$977.24	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $1,023.29	Professional		$758.58	$812.83	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $831.76	Professional		$363.08	$645.65	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $19,498.45	Facility		$8,511.38	$11,748.98	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $1,122.02	Professional		$380.19	$616.60	$1,122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $891.25	Professional		$602.56	$758.58	$891.25