Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $5,011.87 / $7,943.28	Facility		$616.60	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $1,023.29	Professional		$363.08	$467.74	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,148.15	Professional		$870.96	$933.25	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,348.96	Professional		$398.11	$707.95	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,000.00 / $6,606.93	Facility		$588.84	$1,000.00	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $3,090.30	Professional		$436.52	$758.58	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,174.90	Professional		$776.25	$891.25	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,122.02	Professional		$707.95	$1,122.02	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $707.95 / $1,071.52	Professional		$3.02	$707.95	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,174.90	Professional		$416.87	$616.60	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $933.25	Professional		$794.33	$794.33	$933.25