Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,370.32 / $7,943.28	Facility		$758.58	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $1,047.13	Professional		$416.87	$512.86	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,047.13 / $1,318.26	Professional		$426.58	$1,047.13	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $776.25 / $1,737.80	Professional		$416.87	$776.25	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $851.14 / $3,235.94	Facility		$446.68	$851.14	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $3,388.44	Professional		$467.74	$851.14	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,230.27	Professional		$831.76	$1,047.13	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,230.27	Professional		$812.83	$912.01	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $912.01 / $1,148.15	Professional		$5.01	$912.01	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,258.93	Professional		$457.09	$645.65	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,047.13	Professional		$691.83	$891.25	$1,047.13