Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.99 / $343.02 / $505.82	Professional		$267.99	$343.02	$505.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.00 / $724.43 / $932.97	Professional		$519.00	$724.43	$932.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $268.05 / $441.44 / $788.70	Professional		$268.05	$441.44	$788.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.87 / $636.54 / $835.19	Facility		$332.87	$636.54	$835.19
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $956.89 / $956.89 / $956.89	Facility	54	$956.89	$956.89	$956.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.93 / $633.74 / $2,186.40	Professional		$320.93	$633.74	$2,186.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $636.80 / $852.71	Facility		$207.58	$636.80	$852.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.00 / $690.36 / $852.71	Professional		$478.00	$690.36	$852.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.58 / $476.08 / $606.60	Professional		$268.58	$476.08	$606.60
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 $301.39 / $459.26 / $855.38	Professional		$301.39	$459.26	$855.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $496.36 / $628.29 / $739.10	Professional		$496.36	$628.29	$739.10