Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.43 / $3,666.78 / $8,493.33	Facility		$676.43	$3,666.78	$8,493.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.76 / $352.72 / $1,129.00	Professional		$223.76	$352.72	$1,129.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.29 / $601.76 / $677.82	Professional		$531.29	$601.76	$677.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $226.12 / $414.86 / $681.94	Professional		$226.12	$414.86	$681.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $480.06 / $686.08 / $8,586.74	Facility		$480.06	$686.08	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.75 / $576.37 / $2,104.00	Professional		$316.75	$576.37	$2,104.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $431.00 / $743.54 / $3,170.91	Facility		$431.00	$743.54	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $384.05 / $531.29 / $743.54	Professional		$384.05	$531.29	$743.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $460.50 / $626.50	Professional		$5.00	$460.50	$626.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.62 / $490.32 / $774.83	Professional		$285.62	$490.32	$774.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $468.50 / $468.50 / $551.10	Professional		$468.50	$468.50	$551.10