Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.75 / $2,766.33 / $5,581.88	Facility		$697.75	$2,766.33	$5,581.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.72 / $422.88 / $1,340.52	Professional		$243.72	$422.88	$1,340.52
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $48.74 / $84.58 / $268.10	Professional	53	$48.74	$84.58	$268.10
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 $340.00 / $663.28 / $1,273.05	Professional		$340.00	$663.28	$1,273.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $237.71 / $616.85 / $1,345.35	Professional		$237.71	$616.85	$1,345.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $422.88 / $898.00 / $2,201.00	Facility		$422.88	$898.00	$2,201.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $909.50 / $909.50 / $909.50	Facility	52	$909.50	$909.50	$909.50
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $227.37 / $227.37 / $227.37	Facility	53	$227.37	$227.37	$227.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $505.20 / $975.38 / $3,439.23	Professional		$505.20	$975.38	$3,439.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $546.57 / $991.26 / $1,251.13	Facility		$546.57	$991.26	$1,251.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $546.57 / $843.65 / $1,273.05	Professional		$546.57	$843.65	$1,273.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $584.97 / $867.90 / $2,473.52	Facility		$584.97	$867.90	$2,473.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.05 / $482.19 / $1,300.43	Professional		$243.05	$482.19	$1,300.43
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $3,044.00 / $5,934.99	Facility		$796.00	$3,044.00	$5,934.99
United Facility/Professional Professional Modifier Low / Median / High Price $463.10 / $755.00 / $1,370.48	Professional		$463.10	$755.00	$1,370.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $482.00 / $589.70 / $1,016.20	Professional		$482.00	$589.70	$1,016.20