Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.20 / $804.04 / $7,119.04	Facility		$451.20	$804.04	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.49 / $377.70 / $704.61	Professional		$242.49	$377.70	$704.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.00 / $653.54 / $865.77	Professional		$466.00	$653.54	$865.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $250.42 / $419.58 / $1,136.96	Professional		$250.42	$419.58	$1,136.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $300.95 / $585.90 / $786.05	Facility		$300.95	$585.90	$786.05
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $885.90 / $885.90 / $885.90	Facility	54	$885.90	$885.90	$885.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $291.60 / $593.37 / $2,018.88	Professional		$291.60	$593.37	$2,018.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $586.49 / $796.25	Facility		$207.58	$586.49	$796.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $463.39 / $634.03 / $796.25	Professional		$463.39	$634.03	$796.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $439.93 / $603.87	Professional		$268.38	$439.93	$603.87
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 $277.83 / $423.36 / $788.51	Professional		$277.83	$423.36	$788.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $465.94 / $589.79 / $693.80	Professional		$465.94	$589.79	$693.80