Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.55 / $2,352.00 / $6,298.62	Facility		$228.55	$2,352.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $177.89 / $292.82	Professional		$77.65	$177.89	$292.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $231.78 / $534.66	Professional		$128.52	$231.78	$534.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $253.59 / $534.41	Professional		$76.38	$253.59	$534.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.49 / $363.54 / $538.60	Facility		$164.49	$363.54	$538.60
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $74.79 / $74.79 / $74.79	Facility	53	$74.79	$74.79	$74.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.74 / $440.70 / $1,553.44	Professional		$211.74	$440.70	$1,553.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.78 / $400.30 / $566.02	Facility		$179.78	$400.30	$566.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.78 / $377.18 / $523.95	Professional		$179.78	$377.18	$523.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $164.40 / $333.85	Professional		$76.73	$164.40	$333.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.03 / $350.25 / $609.72	Professional		$206.03	$350.25	$609.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.50 / $193.90 / $415.30	Professional		$158.50	$193.90	$415.30