Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,235.94 / $6,760.83	Facility		$446.68	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $380.19 / $933.25	Professional		$331.13	$380.19	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $851.14 / $1,047.13	Professional		$831.76	$851.14	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $1,621.81	Professional		$363.08	$616.60	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,090.30 / $8,709.64	Facility		$660.69	$3,090.30	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $2,818.38	Professional		$426.58	$724.44	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $831.76 / $1,258.93	Professional		$812.83	$831.76	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,000.00	Professional		$707.95	$1,000.00	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $724.44 / $954.99	Professional		$6.03	$724.44	$954.99
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 $389.05 / $575.44 / $1,096.48	Professional		$389.05	$575.44	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $831.76	Professional		$707.95	$707.95	$831.76