Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,090.30 / $6,760.83	Facility		$234.42	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $371.54 / $954.99	Professional		$158.49	$371.54	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $831.76 / $1,023.29	Professional		$363.08	$831.76	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $602.56 / $1,479.11	Professional		$158.49	$602.56	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $912.01 / $5,128.61	Facility		$354.81	$912.01	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $2,137.96	Professional		$389.05	$741.31	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $758.58 / $1,023.29	Professional		$354.81	$758.58	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $1,047.13	Professional		$309.03	$426.58	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $741.31 / $1,023.29	Professional		$3.02	$741.31	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $5,888.44	Facility		$1,819.70	$3,981.07	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $426.58 / $1,000.00	Professional		$186.21	$426.58	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $794.33	Professional		$309.03	$363.08	$794.33