Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,981.07 / $6,760.83	Facility		$575.44	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $912.01	Professional		$338.84	$489.78	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $1,023.29	Professional		$812.83	$891.25	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,122.02	Professional		$338.84	$524.81	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $19,054.61 / $67,608.30	Facility		$676.08	$19,054.61	$67,608.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,380.38	Professional		$436.52	$758.58	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $1,479.11	Professional		$812.83	$891.25	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,023.29	Professional		$741.31	$741.31	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $831.76	Professional		$354.81	$630.96	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $32,359.37 / $67,608.30	Facility		$16,218.10	$32,359.37	$67,608.30
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,202.26	Professional		$416.87	$630.96	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $870.96	Professional		$588.84	$741.31	$870.96