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 $214.93 / $265.06 / $391.43	Professional		$214.93	$265.06	$391.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.21 / $565.63 / $707.03	Professional		$411.21	$565.63	$707.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.53 / $352.22 / $606.89	Professional		$229.53	$352.22	$606.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.94 / $543.22 / $670.16	Facility		$271.94	$543.22	$670.16
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $792.63 / $792.63 / $792.63	Facility	54	$792.63	$792.63	$792.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.56 / $499.07 / $1,803.84	Professional		$244.56	$499.07	$1,803.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $540.74 / $685.39	Facility		$207.58	$540.74	$685.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $381.00 / $544.39 / $685.39	Professional		$381.00	$544.39	$685.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.10 / $393.27 / $490.00	Professional		$242.10	$393.27	$490.00
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 $229.83 / $350.22 / $652.29	Professional		$229.83	$350.22	$652.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $392.39 / $496.70 / $584.40	Professional		$392.39	$496.70	$584.40