Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,370.32 / $7,943.28	Facility		$645.65	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,148.15	Professional		$380.19	$537.03	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,148.15	Professional		$912.01	$1,023.29	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,513.56	Professional		$407.38	$645.65	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,148.15 / $6,606.93	Facility		$645.65	$1,148.15	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $1,548.82	Professional		$501.19	$891.25	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,584.89	Professional		$912.01	$1,023.29	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,174.90	Professional		$891.25	$891.25	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,047.13	Professional		$446.68	$758.58	$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 $467.74 / $724.44 / $1,380.38	Professional		$467.74	$724.44	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,023.29	Professional		$691.83	$870.96	$1,023.29