Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $5,370.32 / $7,943.28	Facility		$616.60	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $1,230.27	Professional		$389.05	$478.63	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,202.26	Professional		$954.99	$1,023.29	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,348.96	Professional		$436.52	$776.25	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,023.29 / $6,606.93	Facility		$676.08	$1,023.29	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $3,388.44	Professional		$501.19	$891.25	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,737.80	Professional		$891.25	$1,047.13	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,258.93 / $1,258.93	Professional		$707.95	$1,258.93	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,148.15	Professional		$707.95	$812.83	$1,148.15
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 $467.74 / $707.95 / $1,380.38	Professional		$467.74	$707.95	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,071.52	Professional		$912.01	$912.01	$1,071.52