Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,981.07 / $6,760.83	Facility		$812.83	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $1,148.15	Professional		$426.58	$549.54	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,096.48 / $1,348.96	Professional		$588.84	$1,096.48	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $1,047.13	Professional		$338.84	$588.84	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,949.84 / $7,079.46	Facility		$724.44	$1,949.84	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $3,467.37	Professional		$512.86	$933.25	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,230.27	Professional		$741.31	$1,071.52	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $691.83 / $891.25	Professional		$389.05	$691.83	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,754.40 / $7,585.78	Facility		$3,311.31	$5,754.40	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,318.26	Professional		$478.63	$676.08	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,023.29	Professional		$691.83	$954.99	$1,023.29