Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $5,011.87 / $7,943.28	Facility		$562.34	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $1,737.80	Professional		$331.13	$489.78	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,202.26	Professional		$794.33	$977.24	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,318.26	Professional		$363.08	$645.65	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,047.13 / $8,128.31	Facility		$562.34	$1,047.13	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $851.14 / $2,754.23	Professional		$446.68	$851.14	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,174.90	Professional		$776.25	$912.01	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,148.15	Professional		$707.95	$1,000.00	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $758.58 / $1,122.02	Professional		$3.98	$758.58	$1,122.02
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 / $588.84 / $1,096.48	Professional		$389.05	$588.84	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $977.24	Professional		$724.44	$831.76	$977.24