Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,370.32 / $7,943.28	Facility		$794.33	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $6,309.57	Professional		$426.58	$562.34	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,202.26 / $1,513.56	Professional		$501.19	$1,202.26	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $3,311.31 / $7,943.28	Professional		$446.68	$3,311.31	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,047.13 / $5,888.44	Facility		$457.09	$1,047.13	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $5,888.44	Professional		$478.63	$831.76	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,230.27	Professional		$676.08	$1,047.13	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $4,073.80	Professional		$870.96	$1,230.27	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
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 / $676.08 / $1,258.93	Professional		$457.09	$676.08	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $4,786.30	Professional		$3,162.28	$4,073.80	$4,786.30