Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,090.30 / $6,760.83	Facility		$524.81	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $912.01	Professional		$295.12	$380.19	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $1,122.02	Professional		$478.63	$870.96	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $1,202.26	Professional		$281.84	$478.63	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $794.33 / $4,677.35	Facility		$426.58	$794.33	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $707.95 / $2,511.89	Professional		$346.74	$707.95	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,023.29	Professional		$645.65	$831.76	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $1,023.29	Professional		$501.19	$630.96	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $851.14	Professional		$338.84	$602.56	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $891.25	Professional		$309.03	$457.09	$891.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $870.96	Professional		$588.84	$741.31	$870.96