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 $231.73 / $331.01 / $644.94	Professional		$231.73	$331.01	$644.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.00 / $631.73 / $802.47	Professional		$448.00	$631.73	$802.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $243.43 / $382.54 / $673.47	Professional		$243.43	$382.54	$673.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.86 / $554.09 / $722.20	Facility		$286.86	$554.09	$722.20
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $833.97 / $833.97 / $833.97	Facility	54	$833.97	$833.97	$833.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $546.69 / $1,896.00	Professional		$275.57	$546.69	$1,896.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $549.35 / $731.40	Facility		$207.58	$549.35	$731.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $591.34 / $731.40	Professional		$426.00	$591.34	$731.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.27 / $413.83 / $523.97	Professional		$253.27	$413.83	$523.97
United Facility/Professional Facility Modifier Low / Median / High Price $314.98 / $720.98 / $1,966.00	Facility		$314.98	$720.98	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.20 / $393.46 / $730.80	Professional		$258.20	$393.46	$730.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $427.86 / $541.60 / $637.20	Professional		$427.86	$541.60	$637.20