Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.90 / $3,259.25 / $7,119.04	Facility		$779.90	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.31 / $377.04 / $747.60	Professional		$270.31	$377.04	$747.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.29 / $743.25 / $940.76	Professional		$545.29	$743.25	$940.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $280.73 / $461.70 / $864.73	Professional		$280.73	$461.70	$864.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.64 / $662.92 / $870.69	Facility		$335.64	$662.92	$870.69
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $956.89 / $956.89 / $956.89	Facility	54	$956.89	$956.89	$956.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.65 / $656.81 / $2,263.01	Professional		$335.65	$656.81	$2,263.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $657.20 / $865.91	Facility		$207.58	$657.20	$865.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $525.59 / $712.92 / $865.91	Professional		$525.59	$712.92	$865.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $477.24 / $610.65	Professional		$268.38	$477.24	$610.65
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 $308.91 / $473.04 / $881.04	Professional		$308.91	$473.04	$881.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $500.39 / $633.40 / $745.20	Professional		$500.39	$633.40	$745.20