Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,511.89 / $6,760.83	Facility		$457.09	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $1,047.13	Professional		$269.15	$354.81	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $933.25	Professional		$398.11	$707.95	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $831.76	Professional		$257.04	$416.87	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $645.65 / $1,202.26	Facility		$309.03	$645.65	$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 / $645.65 / $2,187.76	Professional		$309.03	$645.65	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $851.14	Professional		$645.65	$724.44	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $851.14	Professional		$537.03	$588.84	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $724.44	Professional		$295.12	$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 / $407.38 / $794.33	Professional		$275.42	$407.38	$794.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $741.31	Professional		$489.78	$630.96	$741.31