Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.21 / $4,033.00 / $7,349.01	Facility		$793.21	$4,033.00	$7,349.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.25 / $417.48 / $1,409.00	Professional		$310.25	$417.48	$1,409.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.26 / $705.96 / $794.68	Professional		$622.26	$705.96	$794.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $487.69 / $801.61	Professional		$264.95	$487.69	$801.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $563.87 / $804.80 / $8,586.74	Facility		$563.87	$804.80	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $372.05 / $676.29 / $3,506.00	Professional		$372.05	$676.29	$3,506.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $870.76 / $3,170.91	Facility		$506.00	$870.76	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $450.42 / $622.26 / $870.76	Professional		$450.42	$622.26	$870.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $540.79 / $725.90	Professional		$5.00	$540.79	$725.90
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 $335.35 / $594.41 / $909.73	Professional		$335.35	$594.41	$909.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $548.70 / $548.70 / $645.50	Professional		$548.70	$548.70	$645.50