Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,511.89 / $6,760.83	Facility		$257.04	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $524.81 / $954.99	Professional		$165.96	$524.81	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,258.93 / $1,737.80	Professional		$371.54	$1,258.93	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $776.25 / $1,819.70	Professional		$165.96	$776.25	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,258.93 / $1,905.46	Facility		$371.54	$1,258.93	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,380.38 / $2,570.40	Professional		$446.68	$1,380.38	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,412.54 / $1,584.89	Professional		$407.38	$1,412.54	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,513.56	Professional		$446.68	$446.68	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $398.11 / $1,230.27	Professional		$169.82	$398.11	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $676.08 / $2,187.76	Professional		$199.53	$676.08	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $1,380.38	Professional		$338.84	$398.11	$1,380.38