Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.43 / $2,301.00 / $6,298.62	Facility		$189.43	$2,301.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $375.93 / $795.68	Professional		$243.00	$375.93	$795.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $693.61 / $832.57	Professional		$463.00	$693.61	$832.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.89 / $417.08 / $717.00	Professional		$255.89	$417.08	$717.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $314.12 / $584.67 / $789.06	Facility		$314.12	$584.67	$789.06
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $875.28 / $875.28 / $875.28	Facility	54	$875.28	$875.28	$875.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.81 / $574.16 / $1,995.52	Professional		$293.81	$574.16	$1,995.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $576.95 / $804.67	Facility		$207.58	$576.95	$804.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $626.00 / $804.67	Professional		$441.00	$626.00	$804.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.68 / $435.00 / $573.95	Professional		$265.68	$435.00	$573.95
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 $279.42 / $427.36 / $795.96	Professional		$279.42	$427.36	$795.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $468.47 / $593.00 / $697.60	Professional		$468.47	$593.00	$697.60