Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.88 / $2,833.00 / $6,298.62	Facility		$574.88	$2,833.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $717.73 / $1,409.18	Professional		$193.59	$717.73	$1,409.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.69 / $731.23 / $2,314.21	Professional		$268.69	$731.23	$2,314.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.62 / $939.39 / $1,588.62	Professional		$186.62	$939.39	$1,588.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.44 / $1,409.18 / $3,254.94	Facility		$374.44	$1,409.18	$3,254.94
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $727.83 / $727.83 / $727.83	Facility	52	$727.83	$727.83	$727.83
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $181.96 / $181.96 / $181.96	Facility	53	$181.96	$181.96	$181.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $879.08 / $2,044.59 / $6,044.48	Professional		$879.08	$2,044.59	$6,044.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $486.86 / $1,519.25 / $2,314.21	Facility		$486.86	$1,519.25	$2,314.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $437.40 / $1,736.99 / $2,477.12	Professional		$437.40	$1,736.99	$2,477.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $2,047.90 / $2,467.60	Professional		$4.00	$2,047.90	$2,467.60
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 $966.99 / $1,510.86 / $2,861.67	Professional		$966.99	$1,510.86	$2,861.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $471.90 / $1,804.40	Professional		$385.70	$471.90	$1,804.40