Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,511.89 / $6,760.83	Facility		$794.33	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $1,258.93	Professional		$457.09	$549.54	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $1,548.82	Professional		$741.31	$1,258.93	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,513.56	Professional		$457.09	$724.44	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,023.29 / $1,445.44	Facility		$501.19	$1,023.29	$1,445.44
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	54	$1,621.81	$1,621.81	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,122.02 / $3,715.35	Professional		$537.03	$1,122.02	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,445.44	Professional		$1,122.02	$1,230.27	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,445.44	Professional		$933.25	$1,023.29	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $912.01 / $1,230.27	Professional		$512.86	$912.01	$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 $489.78 / $707.95 / $1,380.38	Professional		$489.78	$707.95	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,230.27	Professional		$831.76	$1,047.13	$1,230.27