Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,511.89 / $6,760.83	Facility		$446.68	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $933.25	Professional		$263.03	$354.81	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,047.13	Professional		$660.69	$831.76	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $630.96 / $1,174.90	Professional		$288.40	$630.96	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $812.83 / $1,621.81	Facility		$426.58	$812.83	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $812.83 / $2,187.76	Professional		$426.58	$812.83	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,023.29	Professional		$676.08	$831.76	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,023.29	Professional		$602.56	$831.76	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $794.33 / $977.24	Professional		$6.03	$794.33	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,202.26 / $2,344.23	Facility		$562.34	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $954.99	Professional		$338.84	$562.34	$954.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $851.14	Professional		$588.84	$691.83	$851.14