Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.72 / $3,421.00 / $7,119.04	Facility		$709.72	$3,421.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.08 / $683.06 / $1,693.54	Professional		$224.08	$683.06	$1,693.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.17 / $660.60 / $1,978.03	Professional		$318.17	$660.60	$1,978.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $205.18 / $886.93 / $1,576.11	Professional		$205.18	$886.93	$1,576.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $418.36 / $1,231.11 / $3,044.00	Facility		$418.36	$1,231.11	$3,044.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $805.34 / $805.34 / $805.34	Facility	52	$805.34	$805.34	$805.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $683.04 / $1,538.57 / $3,753.34	Professional		$683.04	$1,538.57	$3,753.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.88 / $1,538.57 / $2,094.79	Facility		$528.88	$1,538.57	$2,094.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $483.98 / $1,298.41 / $1,983.53	Professional		$483.98	$1,298.41	$1,983.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $942.20 / $2,064.40	Professional		$5.00	$942.20	$2,064.40
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 $739.10 / $1,241.82 / $2,187.27	Professional		$739.10	$1,241.82	$2,187.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.80 / $522.20 / $1,596.10	Professional		$426.80	$522.20	$1,596.10