Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $5,011.87 / $7,943.28	Facility		$457.09	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $1,318.26	Professional		$263.03	$354.81	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $954.99	Professional		$398.11	$758.58	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $851.14	Professional		$251.19	$416.87	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $630.96 / $1,202.26	Facility		$331.13	$630.96	$1,202.26
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	54	$954.99	$954.99	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $630.96 / $2,187.76	Professional		$309.03	$630.96	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $851.14	Professional		$616.60	$724.44	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $588.84 / $851.14	Professional		$524.81	$588.84	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $724.44	Professional		$302.00	$537.03	$724.44
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 $275.42 / $398.11 / $794.33	Professional		$275.42	$398.11	$794.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $741.31	Professional		$501.19	$630.96	$741.31