Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,290.87 / $6,760.83	Facility		$389.05	$2,290.87	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $676.08 / $2,290.87	Professional		$239.88	$676.08	$2,290.87
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $16.22 / $47.86 / $323.59	Professional	AS	$16.22	$47.86	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $676.08	Professional		$446.68	$549.54	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $1,174.90	Professional		$245.47	$363.08	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $562.34 / $1,905.46	Facility		$316.23	$562.34	$1,905.46
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	62	$724.44	$724.44	$724.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	AS	$117.49	$117.49	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $912.01	Professional		$257.04	$501.19	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $691.83	Professional		$478.63	$575.44	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $954.99	Professional		$501.19	$501.19	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $588.84	Professional		$251.19	$426.58	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $707.95	Professional		$251.19	$380.19	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $588.84	Professional		$389.05	$501.19	$588.84