Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.09 / $5,463.36 / $7,119.04	Facility		$395.09	$5,463.36	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.83 / $352.53 / $732.36	Professional		$263.83	$352.53	$732.36
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $197.88 / $330.41 / $365.45	Professional	54	$197.88	$330.41	$365.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.69 / $720.33 / $915.44	Professional		$501.69	$720.33	$915.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $270.49 / $427.81 / $649.14	Professional		$270.49	$427.81	$649.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.08 / $609.12 / $823.47	Facility		$311.08	$609.12	$823.47
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $969.60 / $969.60 / $969.60	Facility	54	$969.60	$969.60	$969.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $604.54 / $2,210.48	Professional		$306.45	$604.54	$2,210.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $634.21 / $825.48	Facility		$207.58	$634.21	$825.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $440.15 / $667.00 / $825.48	Professional		$440.15	$667.00	$825.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $482.24 / $594.08	Professional		$269.32	$482.24	$594.08
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 $291.42 / $445.74 / $830.20	Professional		$291.42	$445.74	$830.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $486.17 / $615.40 / $724.00	Professional		$486.17	$615.40	$724.00