Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,370.32 / $7,943.28	Facility		$676.08	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,174.90	Professional		$407.38	$588.84	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,230.27	Professional		$954.99	$1,202.26	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $2,041.74	Professional		$416.87	$645.65	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,412.54 / $6,606.93	Facility		$741.31	$1,412.54	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $2,290.87	Professional		$707.95	$1,174.90	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,398.83	Professional		$977.24	$1,202.26	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,230.27	Professional		$1,202.26	$1,230.27	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $1,047.13	Professional		$446.68	$794.33	$1,047.13
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 $676.08 / $1,000.00 / $1,949.84	Professional		$676.08	$1,000.00	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,047.13	Professional		$707.95	$891.25	$1,047.13