Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.07 / $2,563.00 / $6,298.62	Facility		$728.07	$2,563.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.77 / $277.13 / $1,484.93	Professional		$144.77	$277.13	$1,484.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $544.20 / $2,417.16	Professional		$333.45	$544.20	$2,417.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $189.11 / $957.26 / $1,317.81	Professional		$189.11	$957.26	$1,317.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $373.79 / $1,783.10 / $5,163.00	Facility		$373.79	$1,783.10	$5,163.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $135.34 / $135.34 / $135.34	Facility	53	$135.34	$135.34	$135.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.13 / $1,783.10 / $4,840.30	Professional		$401.13	$1,783.10	$4,840.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $370.12 / $1,311.70 / $2,383.42	Facility		$370.12	$1,311.70	$2,383.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $1,614.62 / $2,583.48	Professional		$325.33	$1,614.62	$2,583.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $2,433.69	Professional		$6.00	$6.00	$2,433.69
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 $1,117.79 / $1,976.99 / $3,032.28	Professional		$1,117.79	$1,976.99	$3,032.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.50 / $324.10 / $1,776.30	Professional		$275.50	$324.10	$1,776.30