Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,511.89 / $6,760.83	Facility		$371.54	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $676.08	Professional		$208.93	$281.84	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $602.56 / $758.58	Professional		$331.13	$602.56	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $724.44	Professional		$208.93	$338.84	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $1,202.26	Facility		$269.15	$537.03	$1,202.26
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $758.58 / $758.58 / $758.58	Facility	54	$758.58	$758.58	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $524.81 / $1,778.28	Professional		$257.04	$524.81	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $676.08	Professional		$512.86	$588.84	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $676.08	Professional		$436.52	$489.78	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $562.34	Professional		$234.42	$426.58	$562.34
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 $223.87 / $331.13 / $645.65	Professional		$223.87	$331.13	$645.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $588.84	Professional		$389.05	$501.19	$588.84