Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $2,546.00 / $6,107.04	Facility		$252.64	$2,546.00	$6,107.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $461.90 / $1,748.92	Professional		$86.75	$461.90	$1,748.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.05 / $1,146.24 / $2,777.22	Professional		$126.05	$1,146.24	$2,777.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $1,153.17 / $3,514.22	Professional		$92.20	$1,153.17	$3,514.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.97 / $1,591.99 / $2,588.19	Facility		$132.97	$1,591.99	$2,588.19
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $246.93 / $246.93 / $246.93	Facility	62	$246.93	$246.93	$246.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,141.34 / $2,436.98 / $4,907.07	Professional		$1,141.34	$2,436.98	$4,907.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $189.95 / $1,935.95 / $3,011.47	Facility		$189.95	$1,935.95	$3,011.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $1,935.95 / $3,005.34	Professional		$189.95	$1,935.95	$3,005.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.59 / $1,200.59 / $1,200.59	Professional		$1,200.59	$1,200.59	$1,200.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $2,126.00	Facility		$1,026.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.42 / $2,214.69 / $3,545.93	Professional		$1,201.42	$2,214.69	$3,545.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $213.10 / $2,088.10	Professional		$174.20	$213.10	$2,088.10