Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.66 / $2,966.75 / $6,408.55	Facility		$497.66	$2,966.75	$6,408.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.19 / $763.55 / $1,193.17	Professional		$503.19	$763.55	$1,193.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.63 / $1,264.48 / $1,580.60	Professional		$923.63	$1,264.48	$1,580.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $516.24 / $821.14 / $1,461.11	Professional		$516.24	$821.14	$1,461.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $764.56 / $1,281.09 / $3,302.45	Facility		$764.56	$1,281.09	$3,302.45
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,688.06 / $1,688.06 / $1,688.06	Facility	54	$1,688.06	$1,688.06	$1,688.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $590.14 / $1,154.70 / $4,098.39	Professional		$590.14	$1,154.70	$4,098.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,257.44 / $1,602.01	Facility		$1,089.00	$1,257.44	$1,602.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $962.00 / $1,224.83 / $1,510.26	Professional		$962.00	$1,224.83	$1,510.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $535.30 / $955.53 / $1,727.45	Professional		$535.30	$955.53	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.82 / $814.96 / $1,658.09	Professional		$534.82	$814.96	$1,658.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $856.28 / $1,083.90 / $1,275.20	Professional		$856.28	$1,083.90	$1,275.20