Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.21 / $2,546.00 / $6,298.62	Facility		$346.21	$2,546.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.22 / $337.61 / $1,100.00	Professional		$182.22	$337.61	$1,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $497.95 / $975.82	Professional		$333.45	$497.95	$975.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $396.52 / $611.78	Professional		$140.72	$396.52	$611.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $370.53 / $667.15 / $7,155.00	Facility		$370.53	$667.15	$7,155.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $138.36 / $138.36 / $138.36	Facility	53	$138.36	$138.36	$138.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.38 / $646.65 / $2,665.36	Professional		$350.38	$646.65	$2,665.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $350.54 / $740.16 / $3,093.19	Facility		$350.54	$740.16	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $332.60 / $497.95 / $882.91	Professional		$332.60	$497.95	$882.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $564.20 / $997.50	Professional		$4.00	$564.20	$997.50
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 $350.38 / $643.33 / $991.82	Professional		$350.38	$643.33	$991.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.10 / $339.00 / $754.30	Professional		$288.10	$339.00	$754.30