Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.42 / $2,987.67 / $6,368.74	Facility		$755.42	$2,987.67	$6,368.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.28 / $315.47 / $1,438.50	Professional		$122.28	$315.47	$1,438.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.30 / $401.74 / $1,018.44	Professional		$193.30	$401.74	$1,018.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $480.21 / $909.94	Professional		$133.41	$480.21	$909.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.80 / $634.28 / $2,102.88	Facility		$257.80	$634.28	$2,102.88
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $496.53 / $496.53 / $496.53	Facility	52	$496.53	$496.53	$496.53
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $124.13 / $124.13 / $124.13	Facility	53	$124.13	$124.13	$124.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $723.27 / $2,784.32	Professional		$360.80	$723.27	$2,784.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.08 / $803.50 / $1,028.06	Facility		$325.08	$803.50	$1,028.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.39 / $630.73 / $1,026.99	Professional		$298.39	$630.73	$1,026.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.15 / $385.19 / $999.22	Professional		$132.15	$385.19	$999.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.21 / $561.76 / $1,142.94	Professional		$386.21	$561.76	$1,142.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.10 / $321.89 / $833.50	Professional		$263.10	$321.89	$833.50