Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.06 / $3,259.25 / $7,119.04	Facility		$272.06	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.92 / $321.64 / $473.01	Professional		$251.92	$321.64	$473.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.74 / $681.43 / $884.28	Professional		$498.74	$681.43	$884.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $252.45 / $421.65 / $729.39	Professional		$252.45	$421.65	$729.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.10 / $616.05 / $803.42	Facility		$316.10	$616.05	$803.42
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $900.74 / $900.74 / $900.74	Facility	54	$900.74	$900.74	$900.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.82 / $597.07 / $2,059.23	Professional		$306.82	$597.07	$2,059.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $618.64 / $826.04	Facility		$207.58	$618.64	$826.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $470.00 / $654.28 / $826.04	Professional		$470.00	$654.28	$826.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.45 / $447.64 / $583.21	Professional		$266.45	$447.64	$583.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.62 / $437.78 / $815.36	Professional		$286.62	$437.78	$815.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $471.47 / $596.79 / $702.20	Professional		$471.47	$596.79	$702.20