Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,090.30 / $6,760.83	Facility		$457.09	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $707.95	Professional		$263.03	$426.58	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,288.25	Professional		$524.81	$812.83	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $977.24	Professional		$281.84	$512.86	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $794.33 / $5,248.07	Facility		$436.52	$794.33	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $851.14 / $2,344.23	Professional		$446.68	$851.14	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,148.15	Professional		$660.69	$758.58	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,148.15	Professional		$549.54	$831.76	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $891.25	Professional		$275.42	$501.19	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,413.10	Facility		$2,951.21	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $1,047.13	Professional		$302.00	$512.86	$1,047.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $977.24	Professional		$562.34	$660.69	$977.24