Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.25 / $2,977.00 / $6,298.62	Facility		$190.25	$2,977.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $852.03 / $1,568.88	Professional		$250.28	$852.03	$1,568.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.54 / $1,898.82 / $2,566.16	Professional		$449.54	$1,898.82	$2,566.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $253.18 / $1,136.36 / $1,937.47	Professional		$253.18	$1,136.36	$1,937.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $437.40 / $1,659.23 / $5,988.00	Facility		$437.40	$1,659.23	$5,988.00
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 $536.84 / $1,932.51 / $3,321.46	Professional		$536.84	$1,932.51	$3,321.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $490.07 / $1,545.41 / $2,372.15	Facility		$490.07	$1,545.41	$2,372.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $437.40 / $1,427.81 / $2,464.44	Professional		$437.40	$1,427.81	$2,464.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $300.20 / $2,561.69	Professional		$6.00	$300.20	$2,561.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $967.83 / $1,932.51 / $2,719.74	Professional		$967.83	$1,932.51	$2,719.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $453.80 / $1,969.80	Professional		$385.70	$453.80	$1,969.80