Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,801.89 / $6,760.83	Facility		$501.19	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $758.58 / $1,905.46	Professional		$331.13	$758.58	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $2,344.23	Professional		$741.31	$912.01	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,096.48 / $1,905.46	Professional		$309.03	$1,096.48	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,290.87 / $9,549.93	Facility		$812.83	$2,290.87	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,621.81 / $3,981.07	Professional		$741.31	$1,621.81	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,995.26 / $2,290.87	Professional		$812.83	$1,995.26	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $2,238.72	Professional		$691.83	$891.25	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $776.25 / $1,778.28	Professional		$346.74	$776.25	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,413.10 / $10,232.93	Facility		$4,570.88	$7,413.10	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $977.24 / $2,570.40	Professional		$380.19	$977.24	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,862.09	Professional		$676.08	$794.33	$1,862.09