Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,511.89 / $6,760.83	Facility		$501.19	$2,511.89	$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 $446.68 / $831.76 / $1,096.48	Professional		$446.68	$831.76	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $912.01	Professional		$275.42	$457.09	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $676.08 / $1,348.96	Facility		$346.74	$676.08	$1,348.96
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	54	$1,047.13	$1,047.13	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $691.83 / $2,398.83	Professional		$338.84	$691.83	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $977.24	Professional		$660.69	$794.33	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $977.24	Professional		$575.44	$660.69	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $616.60 / $851.14	Professional		$338.84	$616.60	$851.14
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 $302.00 / $446.68 / $891.25	Professional		$302.00	$446.68	$891.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $851.14	Professional		$562.34	$707.95	$851.14