Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $5,011.87 / $7,943.28	Facility		$602.56	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $1,412.54	Professional		$363.08	$489.78	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $954.99 / $1,148.15	Professional		$933.25	$954.99	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,659.59	Professional		$407.38	$707.95	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,023.29 / $6,606.93	Facility		$602.56	$1,023.29	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $3,090.30	Professional		$457.09	$812.83	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $1,445.44	Professional		$912.01	$954.99	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,148.15	Professional		$812.83	$1,148.15	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $812.83 / $1,071.52	Professional		$3.98	$812.83	$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 $426.58 / $645.65 / $1,202.26	Professional		$426.58	$645.65	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $954.99	Professional		$812.83	$812.83	$954.99