Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,951.21 / $6,456.54	Facility		$489.78	$2,951.21	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $1,318.26	Professional		$295.12	$478.63	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $812.83 / $1,047.13	Professional		$446.68	$812.83	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $933.25	Professional		$263.03	$467.74	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $676.08 / $1,202.26	Facility		$323.59	$676.08	$1,202.26
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	54	$1,023.29	$1,023.29	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $691.83 / $2,344.23	Professional		$338.84	$691.83	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $954.99	Professional		$676.08	$794.33	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $954.99	Professional		$575.44	$660.69	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $831.76	Professional		$331.13	$588.84	$831.76
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 $302.00 / $446.68 / $891.25	Professional		$302.00	$446.68	$891.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $812.83	Professional		$549.54	$691.83	$812.83