Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.83 / $4,277.00 / $7,119.04	Facility		$773.83	$4,277.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $407.28 / $536.19	Professional		$325.80	$407.28	$536.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.99 / $820.14 / $942.71	Professional		$670.99	$820.14	$942.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $306.06 / $471.42 / $796.45	Professional		$306.06	$471.42	$796.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $554.57 / $855.14 / $8,342.00	Facility		$554.57	$855.14	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $369.98 / $746.13 / $2,495.84	Professional		$369.98	$746.13	$2,495.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $938.46 / $3,093.19	Facility		$520.00	$938.46	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.76 / $717.53 / $938.46	Professional		$467.76	$717.53	$938.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $558.60 / $868.30	Professional		$3.00	$558.60	$868.30
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 $354.57 / $663.42 / $1,003.67	Professional		$354.57	$663.42	$1,003.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $637.40 / $637.40 / $749.90	Professional		$637.40	$637.40	$749.90