Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,290.87 / $6,760.83	Facility		$588.84	$2,290.87	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $758.58 / $1,905.46	Professional		$316.23	$758.58	$1,905.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,047.13 / $1,174.90 / $5,495.41	Professional	50	$1,047.13	$1,174.90	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $794.33 / $1,000.00	Professional		$354.81	$794.33	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $2,570.40	Professional		$245.47	$407.38	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,230.27 / $3,235.94	Facility		$524.81	$1,230.27	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $933.25 / $3,981.07	Professional		$446.68	$933.25	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $1,659.59	Professional		$707.95	$794.33	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $707.95	Professional		$257.04	$467.74	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $4,897.79	Facility		$1,023.29	$1,949.84	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $1,548.82	Professional		$346.74	$676.08	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $741.31	Professional		$501.19	$630.96	$741.31