Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,398.83 / $6,760.83	Facility		$512.86	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $1,023.29	Professional		$288.40	$371.54	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $1,023.29	Professional		$426.58	$831.76	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $954.99	Professional		$269.15	$457.09	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $676.08 / $1,202.26	Facility		$346.74	$676.08	$1,202.26
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	54	$1,071.52	$1,071.52	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $691.83 / $2,454.71	Professional		$331.13	$691.83	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $912.01	Professional		$676.08	$794.33	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $912.01	Professional		$575.44	$630.96	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $812.83	Professional		$338.84	$602.56	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,344.23	Facility		$537.03	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $870.96	Professional		$295.12	$436.52	$870.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $794.33	Professional		$537.03	$676.08	$794.33