Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,570.40 / $6,760.83	Facility		$436.52	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $1,318.26	Professional		$323.59	$389.05	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,023.29	Professional		$724.44	$831.76	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $1,096.48	Professional		$323.59	$562.34	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,951.21 / $8,709.64	Facility		$512.86	$2,951.21	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $2,691.53	Professional		$354.81	$616.60	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $977.24	Professional		$616.60	$741.31	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $977.24	Professional		$602.56	$933.25	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $616.60 / $933.25	Professional		$3.98	$616.60	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,309.57 / $8,912.51	Facility		$4,265.80	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $954.99	Professional		$346.74	$512.86	$954.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $794.33	Professional		$676.08	$676.08	$794.33