Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.00 / $2,912.34 / $7,119.04	Facility		$298.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $228.03 / $629.24	Professional		$91.66	$228.03	$629.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $459.95 / $601.85	Professional		$183.09	$459.95	$601.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $287.72 / $682.03	Professional		$77.84	$287.72	$682.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.97 / $540.45 / $6,494.85	Facility		$208.97	$540.45	$6,494.85
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $301.54 / $301.54 / $301.54	Facility	52	$301.54	$301.54	$301.54
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $75.39 / $75.39 / $75.39	Facility	53	$75.39	$75.39	$75.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $460.15 / $1,374.00	Professional		$216.00	$460.15	$1,374.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.69 / $570.04 / $3,018.60	Facility		$199.69	$570.04	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $393.07 / $606.99	Professional		$198.73	$393.07	$606.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $212.00 / $3,215.07	Professional		$84.26	$212.00	$3,215.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.22 / $471.09 / $665.51	Professional		$231.22	$471.09	$665.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.10 / $195.50 / $488.30	Professional		$166.10	$195.50	$488.30