Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,630.78 / $7,413.10	Facility		$602.56	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $1,122.02	Professional		$269.15	$457.09	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,380.38	Professional		$537.03	$870.96	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $549.54 / $1,096.48	Professional		$281.84	$549.54	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $954.99 / $7,244.36	Facility		$467.74	$954.99	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $2,398.83	Professional		$478.63	$891.25	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,230.27	Professional		$676.08	$776.25	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,230.27	Professional		$562.34	$891.25	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $524.81 / $954.99	Professional		$288.40	$524.81	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $1,122.02	Professional		$309.03	$537.03	$1,122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,047.13	Professional		$575.44	$676.08	$1,047.13