Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.75 / $2,906.00 / $6,446.00	Facility		$371.75	$2,906.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $315.99 / $795.20	Professional		$125.55	$315.99	$795.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.76 / $537.90 / $740.15	Professional		$286.76	$537.90	$740.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.51 / $355.20 / $780.82	Professional		$122.51	$355.20	$780.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $327.90 / $631.01 / $4,699.47	Facility		$327.90	$631.01	$4,699.47
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $477.18 / $477.18 / $477.18	Facility	52	$477.18	$477.18	$477.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.16 / $578.84 / $6,313.62	Professional		$306.16	$578.84	$6,313.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $316.49 / $574.77 / $1,476.40	Facility		$316.49	$574.77	$1,476.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $286.76 / $477.36 / $691.23	Professional		$286.76	$477.36	$691.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $259.77 / $1,589.47	Professional		$128.44	$259.77	$1,589.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.26 / $4,293.35 / $7,305.00	Facility		$2,264.26	$4,293.35	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.07 / $492.73 / $780.25	Professional		$275.07	$492.73	$780.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $242.80 / $285.60 / $554.60	Professional		$242.80	$285.60	$554.60