Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $5,370.32 / $7,943.28	Facility		$489.78	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $549.54	Professional		$309.03	$380.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $870.96 / $1,047.13	Professional		$851.14	$870.96	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $4,168.69	Professional		$323.59	$616.60	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,137.96 / $6,606.93	Facility		$426.58	$2,137.96	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $4,466.84	Professional		$323.59	$562.34	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $5,128.61	Professional		$426.58	$741.31	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $5,128.61	Professional		$870.96	$870.96	$5,128.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $851.14	Professional		$302.00	$478.63	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42