Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.05 / $3,024.00 / $7,119.04	Facility		$489.05	$3,024.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.09 / $400.25 / $972.28	Professional		$162.09	$400.25	$972.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.81 / $498.35 / $1,067.36	Professional		$374.81	$498.35	$1,067.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.56 / $507.62 / $1,016.40	Professional		$160.56	$507.62	$1,016.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $422.46 / $879.31 / $7,305.00	Facility		$422.46	$879.31	$7,305.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $623.66 / $623.66 / $623.66	Facility	52	$623.66	$623.66	$623.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $417.16 / $801.86 / $2,765.52	Professional		$417.16	$801.86	$2,765.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $416.82 / $824.96 / $3,054.91	Facility		$416.82	$824.96	$3,054.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $374.81 / $664.00 / $996.83	Professional		$374.81	$664.00	$996.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $717.20 / $1,009.20	Professional		$6.00	$717.20	$1,009.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.16 / $801.86 / $1,131.64	Professional		$417.16	$801.86	$1,131.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $317.39 / $373.40 / $796.10	Professional		$317.39	$373.40	$796.10