Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $602.56 / $7,943.28	Facility		$302.00	$602.56	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $691.83	Professional		$173.78	$245.47	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $588.84	Professional		$257.04	$478.63	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $562.34	Professional		$151.36	$263.03	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $436.52 / $1,202.26	Facility		$218.78	$436.52	$1,202.26
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	54	$645.65	$645.65	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $1,445.44	Professional		$186.21	$407.38	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $524.81	Professional		$380.19	$446.68	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $524.81	Professional		$346.74	$354.81	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $478.63	Professional		$204.17	$371.54	$478.63
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 $169.82 / $257.04 / $489.78	Professional		$169.82	$257.04	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $457.09	Professional		$309.03	$389.05	$457.09