Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,570.40 / $6,760.83	Facility		$812.83	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,380.38	Professional		$512.86	$645.65	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,584.89	Professional		$1,258.93	$1,318.26	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,000.00 / $2,137.96	Professional		$549.54	$1,000.00	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $9,120.11	Facility		$1,023.29	$1,949.84	$9,120.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $4,168.69	Professional		$660.69	$1,148.15	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $2,041.74	Professional		$1,230.27	$1,348.96	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,479.11	Professional		$1,071.52	$1,479.11	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,071.52 / $1,380.38	Professional		$7.08	$1,071.52	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,677.35 / $9,332.54	Facility		$1,819.70	$4,677.35	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,778.28	Professional		$602.56	$954.99	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,258.93	Professional		$1,071.52	$1,071.52	$1,258.93