Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.14 / $3,089.00 / $7,119.04	Facility		$612.14	$3,089.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.80 / $954.64 / $3,281.60	Professional		$219.80	$954.64	$3,281.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.60 / $2,145.98 / $3,523.48	Professional		$484.60	$2,145.98	$3,523.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $273.49 / $1,551.15 / $2,063.94	Professional		$273.49	$1,551.15	$2,063.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $432.97 / $2,415.46 / $8,342.00	Facility		$432.97	$2,415.46	$8,342.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $784.78 / $784.78 / $784.78	Facility	52	$784.78	$784.78	$784.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $577.67 / $2,496.01 / $4,596.00	Professional		$577.67	$2,496.01	$4,596.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $523.26 / $2,573.17 / $3,220.62	Facility		$523.26	$2,573.17	$3,220.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $423.51 / $1,528.86 / $3,209.49	Professional		$423.51	$1,528.86	$3,209.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.21 / $1,211.69 / $3,318.34	Professional		$211.21	$1,211.69	$3,318.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,186.11 / $2,124.69 / $3,357.55	Professional		$1,186.11	$2,124.69	$3,357.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $399.30 / $469.80 / $2,589.00	Professional		$399.30	$469.80	$2,589.00