Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,981.07 / $6,760.83	Facility		$602.56	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $1,000.00	Professional		$245.47	$407.38	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,202.26	Professional		$478.63	$794.33	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $912.01	Professional		$251.19	$478.63	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $831.76 / $7,244.36	Facility		$426.58	$831.76	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $812.83 / $2,089.30	Professional		$416.87	$812.83	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $1,071.52	Professional		$616.60	$707.95	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,071.52	Professional		$512.86	$794.33	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $457.09 / $831.76	Professional		$251.19	$457.09	$831.76
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 $281.84 / $478.63 / $1,000.00	Professional		$281.84	$478.63	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $912.01	Professional		$512.86	$602.56	$912.01