Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.65 / $4,277.00 / $7,119.04	Facility		$726.65	$4,277.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.69 / $382.45 / $1,188.00	Professional		$285.69	$382.45	$1,188.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.32 / $646.85 / $729.43	Professional		$571.32	$646.85	$729.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $243.24 / $447.65 / $735.58	Professional		$243.24	$447.65	$735.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $433.32 / $738.55 / $6,237.94	Facility		$433.32	$738.55	$6,237.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $341.29 / $646.85 / $2,807.58	Professional		$341.29	$646.85	$2,807.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $798.81 / $1,813.25	Facility		$464.00	$798.81	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $619.96 / $802.99	Professional		$425.00	$619.96	$802.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $498.20 / $650.00	Professional		$3.00	$498.20	$650.00
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 $307.49 / $480.51 / $834.14	Professional		$307.49	$480.51	$834.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $503.80 / $503.80 / $592.70	Professional		$503.80	$503.80	$592.70