Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.06 / $2,563.00 / $7,119.04	Facility		$272.06	$2,563.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.14 / $379.15 / $767.35	Professional		$264.14	$379.15	$767.35
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $199.65 / $349.01 / $410.74	Professional	54	$199.65	$349.01	$410.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.87 / $789.23 / $986.54	Professional		$550.87	$789.23	$986.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $304.73 / $472.64 / $892.88	Professional		$304.73	$472.64	$892.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $351.30 / $642.40 / $925.53	Facility		$351.30	$642.40	$925.53
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,094.65 / $1,094.65 / $1,094.65	Facility	54	$1,094.65	$1,094.65	$1,094.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.41 / $708.13 / $2,494.40	Professional		$337.41	$708.13	$2,494.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $708.25 / $927.14	Facility		$207.58	$708.25	$927.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $490.71 / $746.32 / $927.14	Professional		$490.71	$746.32	$927.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $544.29 / $669.39	Professional		$269.32	$544.29	$669.39
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 $317.95 / $498.50 / $928.45	Professional		$317.95	$498.50	$928.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $546.04 / $691.20 / $813.10	Professional		$546.04	$691.20	$813.10