Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.13 / $262.48 / $387.22	Professional		$201.13	$262.48	$387.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.77 / $570.29 / $712.88	Professional		$411.77	$570.29	$712.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.44 / $350.32 / $1,047.33	Professional		$222.44	$350.32	$1,047.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.70 / $520.78 / $664.15	Facility		$274.70	$520.78	$664.15
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $793.71 / $793.71 / $793.71	Facility	54	$793.71	$793.71	$793.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.72 / $504.11 / $1,818.64	Professional		$240.72	$504.11	$1,818.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $520.78 / $679.05	Facility		$207.58	$520.78	$679.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $368.00 / $523.32 / $679.05	Professional		$368.00	$523.32	$679.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.39 / $393.79 / $490.95	Professional		$242.39	$393.79	$490.95
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 $229.14 / $349.17 / $701.89	Professional		$229.14	$349.17	$701.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $483.90 / $569.29	Professional		$382.28	$483.90	$569.29