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 $228.95 / $291.55 / $438.92	Professional		$228.95	$291.55	$438.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $615.71 / $795.35	Professional		$445.00	$615.71	$795.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $241.06 / $380.84 / $672.19	Professional		$241.06	$380.84	$672.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.70 / $555.14 / $722.93	Facility		$287.70	$555.14	$722.93
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $824.44 / $824.44 / $824.44	Facility	54	$824.44	$824.44	$824.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.07 / $538.97 / $1,874.80	Professional		$275.07	$538.97	$1,874.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $541.57 / $732.61	Facility		$207.58	$541.57	$732.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $419.00 / $591.59 / $732.61	Professional		$419.00	$591.59	$732.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $249.66 / $409.80 / $522.91	Professional		$249.66	$409.80	$522.91
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 $263.74 / $393.89 / $801.39	Professional		$263.74	$393.89	$801.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $428.89 / $542.90 / $638.70	Professional		$428.89	$542.90	$638.70