Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $5,370.32 / $7,943.28	Facility		$707.95	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,071.52	Professional		$389.05	$489.78	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $954.99 / $1,202.26	Professional		$436.52	$954.99	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $1,621.81	Professional		$389.05	$707.95	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $794.33 / $3,388.44	Facility		$457.09	$794.33	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $3,090.30	Professional		$446.68	$794.33	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,148.15	Professional		$794.33	$954.99	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,174.90	Professional		$616.60	$891.25	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $831.76 / $1,096.48	Professional		$7.08	$831.76	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $6,309.57	Facility		$794.33	$3,162.28	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,148.15	Professional		$426.58	$602.56	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $977.24	Professional		$660.69	$831.76	$977.24