Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,398.83 / $6,760.83	Facility		$436.52	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $1,071.52	Professional		$245.47	$309.03	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $691.83 / $912.01	Professional		$380.19	$691.83	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $776.25	Professional		$239.88	$389.05	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $616.60 / $1,318.26	Facility		$309.03	$616.60	$1,318.26
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	54	$891.25	$891.25	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $602.56 / $2,041.74	Professional		$295.12	$602.56	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $812.83	Professional		$588.84	$676.08	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $812.83	Professional		$501.19	$562.34	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $691.83	Professional		$288.40	$512.86	$691.83
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 $257.04 / $380.19 / $758.58	Professional		$257.04	$380.19	$758.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $707.95	Professional		$467.74	$602.56	$707.95