Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,548.13 / $6,760.83	Facility		$602.56	$3,548.13	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $1,230.27	Professional		$309.03	$489.78	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,445.44	Professional		$602.56	$1,000.00	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $1,122.02	Professional		$323.59	$588.84	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $7,244.36	Facility		$501.19	$1,000.00	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $2,511.89	Professional		$501.19	$954.99	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,288.25	Professional		$776.25	$891.25	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,288.25	Professional		$645.65	$933.25	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $1,000.00	Professional		$323.59	$588.84	$1,000.00
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 $354.81 / $575.44 / $1,174.90	Professional		$354.81	$575.44	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,096.48	Professional		$660.69	$776.25	$1,096.48