Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.37 / $3,419.00 / $7,119.04	Facility		$756.37	$3,419.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.54 / $427.16 / $734.86	Professional		$285.54	$427.16	$734.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.78 / $793.09 / $1,023.54	Professional		$581.78	$793.09	$1,023.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $287.81 / $508.46 / $879.21	Professional		$287.81	$508.46	$879.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $347.60 / $700.88 / $933.69	Facility		$347.60	$700.88	$933.69
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,020.47 / $1,020.47 / $1,020.47	Facility	54	$1,020.47	$1,020.47	$1,020.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.00 / $688.56 / $2,488.06	Professional		$359.00	$688.56	$2,488.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $694.74 / $946.38	Facility		$207.58	$694.74	$946.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $560.77 / $753.83 / $946.38	Professional		$560.77	$753.83	$946.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $507.49 / $690.53	Professional		$269.32	$507.49	$690.53
United Facility/Professional Facility Modifier Low / Median / High Price $314.98 / $720.98 / $1,966.00	Facility		$314.98	$720.98	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.65 / $511.47 / $944.38	Professional		$335.65	$511.47	$944.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $548.02 / $693.70 / $816.20	Professional		$548.02	$693.70	$816.20