Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,570.40 / $6,760.83	Facility		$851.14	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $891.25	Professional		$537.03	$602.56	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,148.15	Professional		$602.56	$776.25	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $1,737.80	Professional		$275.42	$436.52	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,122.02 / $8,511.38	Facility		$549.54	$1,122.02	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $562.34 / $2,187.76	Professional		$281.84	$562.34	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,174.90 / $1,479.11	Professional		$524.81	$1,174.90	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $537.03 / $660.69	Professional		$524.81	$537.03	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,737.80	Professional		$1,288.25	$1,445.44	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,079.46 / $10,232.93	Facility		$4,786.30	$7,079.46	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $758.58	Professional		$269.15	$407.38	$758.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $562.34	Professional		$436.52	$562.34	$562.34