Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.12 / $3,666.78 / $6,394.30	Facility		$639.12	$3,666.78	$6,394.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.11 / $923.65 / $1,718.62	Professional		$201.11	$923.65	$1,718.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.39 / $603.71 / $2,774.57	Professional		$312.39	$603.71	$2,774.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.21 / $1,214.33 / $1,981.95	Professional		$184.21	$1,214.33	$1,981.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $1,955.32 / $5,341.00	Facility		$369.87	$1,955.32	$5,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,123.02 / $2,592.60 / $7,464.05	Professional		$1,123.02	$2,592.60	$7,464.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $480.51 / $2,527.76 / $3,182.73	Facility		$480.51	$2,527.76	$3,182.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $430.85 / $2,052.38 / $3,065.45	Professional		$430.85	$2,052.38	$3,065.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.77 / $890.79 / $3,410.00	Professional		$187.77	$890.79	$3,410.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $6,588.00 / $10,320.00	Facility		$1,770.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,275.18 / $2,308.94 / $4,724.43	Professional		$1,275.18	$2,308.94	$4,724.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $379.90 / $464.80 / $2,129.10	Professional		$379.90	$464.80	$2,129.10