Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,090.30 / $6,760.83	Facility		$457.09	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $954.99	Professional		$257.04	$380.19	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,122.02	Professional		$645.65	$812.83	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $660.69 / $1,479.11	Professional		$281.84	$660.69	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,023.29 / $8,511.38	Facility		$616.60	$1,023.29	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $2,187.76	Professional		$467.74	$851.14	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,202.26	Professional		$616.60	$831.76	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,071.52	Professional		$524.81	$741.31	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $870.96 / $1,047.13	Professional		$3.02	$870.96	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,456.54 / $9,332.54	Facility		$4,365.16	$6,456.54	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $1,122.02	Professional		$323.59	$616.60	$1,122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $851.14	Professional		$537.03	$630.96	$851.14