Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $6,760.83	Facility		$416.87	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $724.44	Professional		$239.88	$288.40	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $831.76	Professional		$363.08	$660.69	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $758.58	Professional		$223.87	$380.19	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $588.84 / $1,202.26	Facility		$302.00	$588.84	$1,202.26
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	54	$870.96	$870.96	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $575.44 / $1,995.26	Professional		$269.15	$575.44	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $758.58	Professional		$549.54	$645.65	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $524.81 / $758.58	Professional		$489.78	$524.81	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $660.69	Professional		$275.42	$489.78	$660.69
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 $245.47 / $363.08 / $707.95	Professional		$245.47	$363.08	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $645.65	Professional		$436.52	$549.54	$645.65