Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,000.00 / $5,370.32	Facility		$331.13	$1,000.00	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $436.52 / $1,023.29	Professional		$181.97	$436.52	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $489.78 / $1,096.48	Professional		$245.47	$489.78	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $588.84 / $1,148.15	Professional		$186.21	$588.84	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $691.83 / $2,454.71	Facility		$281.84	$691.83	$2,454.71
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	52	$724.44	$724.44	$724.44
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	53	$181.97	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $3,311.31	Professional		$457.09	$794.33	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $1,122.02	Professional		$467.74	$851.14	$1,122.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,202.26	Professional		$489.78	$758.58	$1,202.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $446.68 / $1,047.13	Professional		$186.21	$446.68	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,019.95 / $5,888.44	Facility		$1,513.56	$3,019.95	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $478.63 / $1,023.29	Professional		$234.42	$478.63	$1,023.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $977.24	Professional		$380.19	$467.74	$977.24