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 / $309.03 / $794.33	Professional		$239.88	$309.03	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $707.95 / $891.25	Professional		$354.81	$707.95	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $724.44	Professional		$223.87	$380.19	$724.44
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 $275.42 / $575.44 / $1,995.26	Professional		$275.42	$575.44	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $794.33	Professional		$537.03	$660.69	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $794.33	Professional		$467.74	$537.03	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $676.08	Professional		$275.42	$501.19	$676.08
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 / $354.81 / $707.95	Professional		$245.47	$354.81	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $691.83	Professional		$457.09	$575.44	$691.83