Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,090.30 / $6,760.83	Facility		$645.65	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $912.01	Professional		$346.74	$457.09	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,096.48 / $1,348.96	Professional		$537.03	$1,096.48	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $1,096.48	Professional		$346.74	$575.44	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $812.83 / $1,348.96	Facility		$426.58	$812.83	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $812.83 / $3,090.30	Professional		$407.38	$812.83	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,230.27	Professional		$812.83	$933.25	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,230.27	Professional		$676.08	$776.25	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $1,047.13	Professional		$416.87	$741.31	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,344.23	Facility		$537.03	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $1,047.13	Professional		$354.81	$537.03	$1,047.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,071.52	Professional		$724.44	$912.01	$1,071.52