Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.92 / $2,734.53 / $5,549.00	Facility		$524.92	$2,734.53	$5,549.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,266.65 / $1,266.65 / $1,266.65	Facility	52	$1,266.65	$1,266.65	$1,266.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.65 / $316.56 / $926.15	Professional		$158.65	$316.56	$926.15
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 $209.17 / $437.16 / $1,013.21	Professional		$209.17	$437.16	$1,013.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $155.59 / $411.25 / $732.82	Professional		$155.59	$411.25	$732.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.27 / $587.75 / $2,062.09	Facility		$276.27	$587.75	$2,062.09
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $595.82 / $595.82 / $595.82	Facility	52	$595.82	$595.82	$595.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.00 / $721.43 / $3,058.16	Professional		$278.00	$721.43	$3,058.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.95 / $775.88 / $1,013.21	Facility		$315.95	$775.88	$1,013.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $311.24 / $505.78 / $1,054.53	Professional		$311.24	$505.78	$1,054.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $378.59 / $999.22	Professional		$158.88	$378.59	$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 $265.57 / $569.30 / $1,097.70	Professional		$265.57	$569.30	$1,097.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $315.70 / $386.30 / $917.30	Professional		$315.70	$386.30	$917.30