Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $6,760.83	Facility		$724.44	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Professional		$416.87	$524.81	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $1,513.56	Professional		$660.69	$1,202.26	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,445.44	Professional		$426.58	$676.08	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,148.15 / $3,548.13	Facility		$588.84	$1,148.15	$3,548.13
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	54	$1,513.56	$1,513.56	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,023.29 / $3,388.44	Professional		$512.86	$1,023.29	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,380.38	Professional		$1,000.00	$1,148.15	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,380.38	Professional		$870.96	$977.24	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $891.25 / $1,230.27	Professional		$489.78	$891.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $4,365.16	Facility		$1,202.26	$2,137.96	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,288.25	Professional		$446.68	$660.69	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,202.26	Professional		$794.33	$1,023.29	$1,202.26