Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,576.15 / $7,119.04	Facility		$1,300.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.62 / $515.69 / $716.12	Professional		$329.62	$515.69	$716.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.14 / $890.96 / $1,149.17	Professional		$653.14	$890.96	$1,149.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $343.11 / $554.23 / $966.67	Professional		$343.11	$554.23	$966.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.28 / $803.18 / $1,049.15	Facility		$376.28	$803.18	$1,049.15
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,174.11 / $1,174.11 / $1,174.11	Facility	54	$1,174.11	$1,174.11	$1,174.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.48 / $782.20 / $2,694.89	Professional		$401.48	$782.20	$2,694.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $788.00 / $1,059.27	Facility		$207.58	$788.00	$1,059.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $858.70 / $1,059.27	Professional		$629.00	$858.70	$1,059.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $582.07 / $755.38	Professional		$269.32	$582.07	$755.38
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 $374.83 / $571.16 / $1,056.75	Professional		$374.83	$571.16	$1,056.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $613.99 / $777.20 / $914.30	Professional		$613.99	$777.20	$914.30