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 $242.63 / $312.81 / $460.52	Professional		$242.63	$312.81	$460.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $670.92 / $818.42	Professional		$456.00	$670.92	$818.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.84 / $409.34 / $663.23	Professional		$254.84	$409.34	$663.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $304.80 / $577.71 / $778.28	Facility		$304.80	$577.71	$778.28
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $871.06 / $871.06 / $871.06	Facility	54	$871.06	$871.06	$871.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.73 / $569.47 / $1,987.04	Professional		$287.73	$569.47	$1,987.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $572.23 / $789.06	Facility		$207.58	$572.23	$789.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $623.63 / $789.06	Professional		$434.00	$623.63	$789.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $264.99 / $433.22 / $565.29	Professional		$264.99	$433.22	$565.29
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 $273.60 / $418.51 / $779.48	Professional		$273.60	$418.51	$779.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $459.86 / $582.10 / $684.80	Professional		$459.86	$582.10	$684.80