Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,019.95 / $6,456.54	Facility		$537.03	$3,019.95	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $933.25	Professional		$281.84	$389.05	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $812.83 / $1,023.29	Professional		$416.87	$812.83	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $912.01	Professional		$269.15	$426.58	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $660.69 / $1,348.96	Facility		$346.74	$660.69	$1,348.96
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	54	$1,000.00	$1,000.00	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $660.69 / $2,290.87	Professional		$323.59	$660.69	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $912.01	Professional		$660.69	$758.58	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $912.01	Professional		$562.34	$630.96	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $776.25	Professional		$316.23	$575.44	$776.25
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 $288.40 / $426.58 / $851.14	Professional		$288.40	$426.58	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $794.33	Professional		$524.81	$676.08	$794.33