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 $313.70 / $396.74 / $584.37	Professional		$313.70	$396.74	$584.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.00 / $849.43 / $1,001.63	Professional		$611.00	$849.43	$1,001.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $314.68 / $519.58 / $900.10	Professional		$314.68	$519.58	$900.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.06 / $743.94 / $989.78	Facility		$374.06	$743.94	$989.78
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,120.06 / $1,120.06 / $1,120.06	Facility	54	$1,120.06	$1,120.06	$1,120.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $376.29 / $740.55 / $2,563.67	Professional		$376.29	$740.55	$2,563.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $740.55 / $1,001.63	Facility		$207.58	$740.55	$1,001.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $809.12 / $1,001.63	Professional		$560.00	$809.12	$1,001.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $556.69 / $720.96	Professional		$269.32	$556.69	$720.96
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 $353.63 / $538.86 / $1,003.63	Professional		$353.63	$538.86	$1,003.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $581.99 / $736.70 / $866.70	Professional		$581.99	$736.70	$866.70