Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,238.72 / $6,025.60	Facility		$457.09	$2,238.72	$6,025.60
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	54	$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $1,380.38	Professional		$457.09	$562.34	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $1,584.89	Professional		$741.31	$1,288.25	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $1,778.28	Professional		$457.09	$741.31	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,230.27 / $4,677.35	Facility		$645.65	$1,230.27	$4,677.35
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 $549.54 / $1,096.48 / $3,715.35	Professional		$549.54	$1,096.48	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,479.11	Professional		$1,096.48	$1,230.27	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,479.11	Professional		$954.99	$1,047.13	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $933.25 / $1,288.25	Professional		$524.81	$933.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,380.38	Professional		$489.78	$724.44	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,258.93	Professional		$851.14	$1,071.52	$1,258.93