Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $5,370.32 / $7,943.28	Facility		$602.56	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $741.31	Professional		$323.59	$389.05	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $2,089.30	Professional		$338.84	$467.74	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $4,168.69	Professional		$1,000.00	$1,819.70	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $794.33 / $4,677.35	Facility		$371.54	$794.33	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $3,467.37	Professional		$363.08	$660.69	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $912.01	Professional		$588.84	$794.33	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,089.30 / $2,884.03	Professional		$912.01	$2,089.30	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
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 $354.81 / $537.03 / $977.24	Professional		$354.81	$537.03	$977.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,454.71	Professional		$1,621.81	$2,089.30	$2,454.71