Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.91 / $3,034.03 / $6,446.00	Facility		$633.91	$3,034.03	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $435.91 / $1,283.38	Professional		$192.11	$435.91	$1,283.38
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 $301.20 / $554.13 / $1,527.81	Professional		$301.20	$554.13	$1,527.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $653.28 / $1,156.86	Professional		$187.90	$653.28	$1,156.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.54 / $806.27 / $3,093.79	Facility		$363.54	$806.27	$3,093.79
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $718.14 / $718.14 / $718.14	Facility	52	$718.14	$718.14	$718.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $1,160.83 / $4,612.72	Professional		$405.00	$1,160.83	$4,612.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $439.64 / $1,269.01 / $1,728.30	Facility		$439.64	$1,269.01	$1,728.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $382.40 / $806.27 / $1,527.81	Professional		$382.40	$806.27	$1,527.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $314.86 / $502.80 / $1,148.23	Professional		$314.86	$502.80	$1,148.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $4,663.00 / $7,305.00	Facility		$2,559.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.81 / $925.41 / $1,863.74	Professional		$464.81	$925.41	$1,863.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.60 / $465.60 / $1,370.30	Professional		$380.60	$465.60	$1,370.30