Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,801.89 / $7,413.10	Facility		$691.83	$3,801.89	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,513.56	Professional		$416.87	$630.96	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,778.28	Professional		$794.33	$1,288.25	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $1,318.26	Professional		$407.38	$724.44	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,202.26 / $7,244.36	Facility		$616.60	$1,202.26	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,148.15 / $3,311.31	Professional		$616.60	$1,148.15	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,621.81	Professional		$933.25	$1,174.90	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,479.11	Professional		$831.76	$1,174.90	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $758.58 / $1,258.93	Professional		$426.58	$758.58	$1,258.93
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 $446.68 / $724.44 / $1,479.11	Professional		$446.68	$724.44	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,348.96	Professional		$851.14	$1,000.00	$1,348.96