Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,570.40 / $6,760.83	Facility		$691.83	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $1,071.52	Professional		$371.54	$512.86	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $977.24 / $1,230.27	Professional		$933.25	$977.24	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $1,737.80	Professional		$416.87	$741.31	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,819.70 / $6,309.57	Facility		$691.83	$1,819.70	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $3,162.28	Professional		$489.78	$831.76	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,348.96	Professional		$891.25	$977.24	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,122.02	Professional		$794.33	$1,122.02	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $794.33 / $1,047.13	Professional		$6.03	$794.33	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $7,413.10	Facility		$3,019.95	$5,370.32	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,318.26	Professional		$446.68	$691.83	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $954.99	Professional		$812.83	$812.83	$954.99