Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $5,248.07 / $7,943.28	Facility		$549.54	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,737.80	Professional		$346.74	$549.54	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,174.90	Professional		$812.83	$933.25	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $1,230.27	Professional		$354.81	$645.65	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,047.13 / $8,128.31	Facility		$549.54	$1,047.13	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $851.14 / $2,691.53	Professional		$446.68	$851.14	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,148.15	Professional		$831.76	$912.01	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,122.02	Professional		$707.95	$1,000.00	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $758.58 / $1,096.48	Professional		$3.98	$758.58	$1,096.48
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 / $602.56 / $1,096.48	Professional		$389.05	$602.56	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $954.99	Professional		$707.95	$812.83	$954.99