Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $5,370.32 / $7,943.28	Facility		$724.44	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,258.93	Professional		$426.58	$602.56	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,288.25	Professional		$1,023.29	$1,148.15	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,862.09	Professional		$457.09	$724.44	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $7,244.36	Facility		$724.44	$1,288.25	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,819.70	Professional		$588.84	$977.24	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,949.84	Professional		$977.24	$1,148.15	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $1,148.15	Professional		$489.78	$851.14	$1,148.15
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 $537.03 / $812.83 / $1,548.82	Professional		$537.03	$812.83	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,122.02	Professional		$758.58	$954.99	$1,122.02