Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,981.07 / $6,760.83	Facility		$416.87	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $1,258.93	Professional		$309.03	$407.38	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $776.25 / $977.24	Professional		$724.44	$776.25	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $1,122.02	Professional		$331.13	$549.54	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,951.21 / $8,709.64	Facility		$501.19	$2,951.21	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $3,630.78	Professional		$371.54	$630.96	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $1,047.13	Professional		$691.83	$741.31	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $912.01	Professional		$616.60	$912.01	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $616.60 / $870.96	Professional		$6.03	$616.60	$870.96
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 / $501.19 / $933.25	Professional		$346.74	$501.19	$933.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $758.58	Professional		$645.65	$645.65	$758.58