Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,981.07 / $7,244.36	Facility		$602.56	$3,981.07	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $2,187.76	Professional		$363.08	$691.83	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $912.01 / $1,096.48	Professional		$891.25	$912.01	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $891.25 / $2,398.83	Professional		$389.05	$891.25	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,168.69 / $13,803.84	Facility		$851.14	$4,168.69	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $4,897.79	Professional		$489.78	$870.96	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,819.70	Professional		$851.14	$954.99	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,023.29	Professional		$741.31	$1,023.29	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $812.83 / $1,288.25	Professional		$5.01	$812.83	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,079.46 / $14,125.38	Facility		$4,365.16	$7,079.46	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $724.44 / $1,288.25	Professional		$416.87	$724.44	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $870.96	Professional		$741.31	$741.31	$870.96