Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $3,801.89 / $6,760.83	Facility		$398.11	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $630.96	Professional		$234.42	$380.19	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $1,148.15	Professional		$457.09	$741.31	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $891.25	Professional		$245.47	$457.09	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $812.83 / $7,244.36	Facility		$398.11	$812.83	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $776.25 / $2,041.74	Professional		$407.38	$776.25	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,047.13	Professional		$575.44	$707.95	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,047.13	Professional		$478.63	$758.58	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $794.33	Professional		$239.88	$436.52	$794.33
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 $263.03 / $457.09 / $954.99	Professional		$263.03	$457.09	$954.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $870.96	Professional		$489.78	$575.44	$870.96