Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.81 / $3,259.25 / $7,119.04	Facility		$278.81	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.48 / $250.61 / $407.84	Professional		$197.48	$250.61	$407.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.38 / $552.38 / $674.79	Professional		$391.38	$552.38	$674.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $216.43 / $335.64 / $571.04	Professional		$216.43	$335.64	$571.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.75 / $509.10 / $646.00	Facility		$259.75	$509.10	$646.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $755.54 / $755.54 / $755.54	Facility	54	$755.54	$755.54	$755.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.10 / $471.50 / $1,718.32	Professional		$231.10	$471.50	$1,718.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $505.51 / $647.60	Facility		$207.58	$505.51	$647.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $518.91 / $647.60	Professional		$358.00	$518.91	$647.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.75 / $374.58 / $467.60	Professional		$230.75	$374.58	$467.60
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 $217.14 / $330.88 / $616.26	Professional		$217.14	$330.88	$616.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $370.12 / $468.50 / $551.10	Professional		$370.12	$468.50	$551.10