Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,511.89 / $6,760.83	Facility		$758.58	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,288.25	Professional		$446.68	$537.03	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $1,548.82	Professional		$707.95	$1,230.27	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,621.81	Professional		$446.68	$724.44	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $1,445.44	Facility		$501.19	$1,000.00	$1,445.44
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	54	$1,584.89	$1,584.89	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,071.52 / $3,630.78	Professional		$537.03	$1,071.52	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,445.44	Professional		$1,071.52	$1,202.26	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,445.44	Professional		$912.01	$1,023.29	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,230.27	Professional		$489.78	$870.96	$1,230.27
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 $478.63 / $691.83 / $1,348.96	Professional		$478.63	$691.83	$1,348.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,230.27	Professional		$812.83	$1,047.13	$1,230.27