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 $244.74 / $297.87 / $438.50	Professional		$244.74	$297.87	$438.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.00 / $646.20 / $819.03	Professional		$460.00	$646.20	$819.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.61 / $401.68 / $695.24	Professional		$255.61	$401.68	$695.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $591.89 / $751.82	Facility		$302.00	$591.89	$751.82
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $874.23 / $874.23 / $874.23	Facility	54	$874.23	$874.23	$874.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $284.43 / $579.76 / $1,995.84	Professional		$284.43	$579.76	$1,995.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $582.57 / $758.27	Facility		$207.58	$582.57	$758.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $606.04 / $758.27	Professional		$435.00	$606.04	$758.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.70 / $434.54 / $538.41	Professional		$258.70	$434.54	$538.41
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 $264.33 / $403.82 / $799.29	Professional		$264.33	$403.82	$799.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $437.03 / $553.20 / $650.79	Professional		$437.03	$553.20	$650.79