Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.39 / $2,301.00 / $6,298.62	Facility		$307.39	$2,301.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.60 / $454.43 / $593.99	Professional		$288.60	$454.43	$593.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.96 / $791.66 / $923.23	Professional		$580.96	$791.66	$923.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.52 / $488.36 / $843.46	Professional		$302.52	$488.36	$843.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $353.21 / $708.86 / $917.63	Facility		$353.21	$708.86	$917.63
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,032.09 / $1,032.09 / $1,032.09	Facility	54	$1,032.09	$1,032.09	$1,032.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.69 / $693.43 / $2,384.69	Professional		$354.69	$693.43	$2,384.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $702.11 / $916.35	Facility		$207.58	$702.11	$916.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $554.00 / $755.63 / $916.35	Professional		$554.00	$755.63	$916.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $514.29 / $654.10	Professional		$269.32	$514.29	$654.10
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 $327.77 / $502.30 / $930.27	Professional		$327.77	$502.30	$930.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $535.38 / $677.70 / $797.30	Professional		$535.38	$677.70	$797.30