Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $6,606.93 / $8,128.31	Facility		$549.54	$6,606.93	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $870.96	Professional		$323.59	$467.74	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $977.24	Professional		$776.25	$870.96	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $1,513.56	Professional		$323.59	$588.84	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $19,054.61 / $67,608.30	Facility		$776.25	$19,054.61	$67,608.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $812.83 / $1,621.81	Professional		$436.52	$812.83	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,659.59	Professional		$776.25	$954.99	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $977.24	Professional		$724.44	$724.44	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $794.33	Professional		$338.84	$602.56	$794.33
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 $398.11 / $691.83 / $1,202.26	Professional		$398.11	$691.83	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $831.76	Professional		$562.34	$707.95	$831.76