Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,818.38 / $6,456.54	Facility		$338.84	$2,818.38	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $776.25 / $2,238.72	Professional		$199.53	$776.25	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $575.44 / $2,238.72	Professional		$245.47	$575.44	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $933.25 / $1,819.70	Professional		$190.55	$933.25	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,380.38 / $4,265.80	Facility		$288.40	$1,380.38	$4,265.80
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 $870.96 / $1,819.70 / $6,025.60	Professional		$870.96	$1,819.70	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,995.26 / $2,238.72	Professional		$489.78	$1,995.26	$2,238.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,905.46 / $2,454.71	Professional		$436.52	$1,905.46	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $2,238.72 / $2,570.40	Professional		$3.98	$2,238.72	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $6,309.57	Facility		$2,511.89	$4,786.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $831.76 / $2,187.76	Professional		$239.88	$831.76	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $1,819.70	Professional		$389.05	$467.74	$1,819.70