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 $267.61 / $419.71 / $494.92	Professional		$267.61	$419.71	$494.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $726.17 / $921.29	Professional		$532.00	$726.17	$921.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $278.18 / $449.79 / $775.82	Professional		$278.18	$449.79	$775.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.03 / $647.21 / $840.72	Facility		$329.03	$647.21	$840.72
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $957.94 / $957.94 / $957.94	Facility	54	$957.94	$957.94	$957.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.49 / $638.34 / $2,183.12	Professional		$323.49	$638.34	$2,183.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $646.08 / $847.90	Facility		$207.58	$646.08	$847.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $690.15 / $847.90	Professional		$505.00	$690.15	$847.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $471.65 / $605.22	Professional		$268.38	$471.65	$605.22
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 $300.68 / $459.97 / $856.69	Professional		$300.68	$459.97	$856.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $492.80 / $623.79 / $733.90	Professional		$492.80	$623.79	$733.90