Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,011.87 / $7,943.28	Facility		$831.76	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $2,290.87	Professional		$446.68	$776.25	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,174.90 / $1,949.84	Professional		$562.34	$1,174.90	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,513.56	Professional		$426.58	$707.95	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,659.59 / $6,606.93	Facility		$831.76	$1,659.59	$6,606.93
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	54	$1,513.56	$1,513.56	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $3,548.13	Professional		$758.58	$1,258.93	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,778.28	Professional		$1,047.13	$1,230.27	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $1,380.38	Professional		$416.87	$758.58	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,888.44 / $7,762.47	Facility		$3,467.37	$5,888.44	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,584.89	Professional		$524.81	$851.14	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,479.11	Professional		$891.25	$1,047.13	$1,479.11