Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,370.32 / $7,943.28	Facility		$851.14	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $977.24	Professional		$489.78	$724.44	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,698.24	Professional		$676.08	$933.25	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $1,778.28	Professional		$660.69	$1,202.26	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,122.02 / $4,168.69	Facility		$691.83	$1,122.02	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $4,677.35	Professional		$707.95	$1,202.26	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $2,041.74	Professional		$933.25	$1,122.02	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $2,041.74	Professional		$1,258.93	$1,412.54	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $1,905.46	Professional		$1,288.25	$1,479.11	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,905.46	Professional		$691.83	$1,023.29	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,258.93	Professional		$851.14	$1,071.52	$1,258.93