Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,235.94 / $6,760.83	Facility		$616.60	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $1,071.52	Professional		$389.05	$478.63	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,230.27	Professional		$933.25	$1,000.00	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $1,584.89	Professional		$426.58	$724.44	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,162.28 / $9,549.93	Facility		$724.44	$3,162.28	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $3,162.28	Professional		$489.78	$851.14	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,380.38	Professional		$912.01	$1,000.00	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,122.02	Professional		$812.83	$1,122.02	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $812.83 / $1,071.52	Professional		$3.02	$812.83	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $10,715.19	Facility		$4,786.30	$7,762.47	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,348.96	Professional		$446.68	$691.83	$1,348.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $977.24	Professional		$831.76	$831.76	$977.24