Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,090.30 / $6,760.83	Facility		$831.76	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,584.89	Professional		$478.63	$691.83	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,174.90 / $1,698.24	Professional		$549.54	$1,174.90	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,479.11	Professional		$426.58	$707.95	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,584.89 / $6,606.93	Facility		$891.25	$1,584.89	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $3,548.13	Professional		$724.44	$1,258.93	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,698.24	Professional		$1,023.29	$1,318.26	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $1,318.26	Professional		$416.87	$741.31	$1,318.26
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 $524.81 / $812.83 / $1,548.82	Professional		$524.81	$812.83	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,412.54	Professional		$891.25	$1,047.13	$1,412.54