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 $294.70 / $505.81 / $621.84	Professional		$294.70	$505.81	$621.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.79 / $798.79 / $1,037.82	Professional		$577.79	$798.79	$1,037.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $294.86 / $503.11 / $843.76	Professional		$294.86	$503.11	$843.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $362.12 / $706.08 / $959.36	Facility		$362.12	$706.08	$959.36
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,053.30 / $1,053.30 / $1,053.30	Facility	54	$1,053.30	$1,053.30	$1,053.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $358.01 / $697.33 / $2,411.04	Professional		$358.01	$697.33	$2,411.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $694.13 / $972.81	Facility		$207.58	$694.13	$972.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $764.03 / $972.81	Professional		$514.04	$764.03	$972.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $523.30 / $708.16	Professional		$269.32	$523.30	$708.16
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 $345.87 / $519.79 / $1,057.55	Professional		$345.87	$519.79	$1,057.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $565.32 / $715.60 / $841.80	Professional		$565.32	$715.60	$841.80