Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.96 / $5,108.00 / $8,030.57	Facility		$542.96	$5,108.00	$8,030.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.77 / $356.38 / $1,368.93	Professional		$191.77	$356.38	$1,368.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.48 / $460.69 / $562.05	Professional		$396.48	$460.69	$562.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.66 / $326.67 / $1,525.68	Professional		$194.66	$326.67	$1,525.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $285.77 / $493.40 / $1,607.00	Facility		$285.77	$493.40	$1,607.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $598.89 / $598.89 / $598.89	Facility	62	$598.89	$598.89	$598.89
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $95.82 / $95.82 / $95.82	Facility	AS	$95.82	$95.82	$95.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $409.23 / $3,668.75	Professional		$214.36	$409.23	$3,668.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $363.22 / $465.28 / $602.26	Facility		$363.22	$465.28	$602.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $310.76 / $460.69 / $602.26	Professional		$310.76	$460.69	$602.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $337.68 / $426.68	Professional		$204.78	$337.68	$426.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $311.79 / $634.36	Professional		$214.36	$311.79	$634.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $320.89 / $406.20 / $477.90	Professional		$320.89	$406.20	$477.90