Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,548.82 / $6,760.83	Facility		$467.74	$1,548.82	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $1,202.26	Professional		$302.00	$501.19	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,445.44	Professional		$588.84	$912.01	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $1,230.27	Professional		$309.03	$588.84	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,023.29 / $7,244.36	Facility		$524.81	$1,023.29	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $2,691.53	Professional		$501.19	$954.99	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,318.26	Professional		$758.58	$870.96	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,318.26	Professional		$602.56	$912.01	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,047.13	Professional		$323.59	$575.44	$1,047.13
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 $346.74 / $562.34 / $1,174.90	Professional		$346.74	$562.34	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,122.02	Professional		$645.65	$758.58	$1,122.02