Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.80 / $349.80 / $349.80	Facility		$349.80	$349.80	$349.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.83 / $808.89 / $1,947.48	Professional		$344.83	$808.89	$1,947.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.83 / $1,030.43 / $1,353.62	Professional		$757.83	$1,030.43	$1,353.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $746.42 / $1,047.15	Professional		$402.85	$746.42	$1,047.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $509.59 / $843.54 / $2,337.00	Facility		$509.59	$843.54	$2,337.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $525.01 / $1,030.43 / $4,085.84	Professional		$525.01	$1,030.43	$4,085.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $1,006.29 / $1,337.96	Facility		$725.00	$1,006.29	$1,337.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $960.89 / $1,353.62	Professional		$629.00	$960.89	$1,353.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $462.78 / $826.06 / $1,121.51	Professional		$462.78	$826.06	$1,121.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.42 / $891.39 / $1,419.38	Professional		$501.42	$891.39	$1,419.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $542.29 / $638.00 / $831.00	Professional		$542.29	$638.00	$831.00