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 $288.24 / $369.15 / $583.39	Professional		$288.24	$369.15	$583.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.00 / $784.92 / $988.48	Professional		$556.00	$784.92	$988.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $472.86 / $851.44	Professional		$300.27	$472.86	$851.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $366.37 / $693.71 / $882.58	Facility		$366.37	$693.71	$882.58
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,026.83 / $1,026.83 / $1,026.83	Facility	54	$1,026.83	$1,026.83	$1,026.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $339.15 / $681.66 / $2,345.92	Professional		$339.15	$681.66	$2,345.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $684.96 / $917.56	Facility		$207.58	$684.96	$917.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $522.00 / $731.88 / $917.56	Professional		$522.00	$731.88	$917.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $526.38 / $649.28	Professional		$269.32	$526.38	$649.28
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 $321.76 / $491.60 / $913.19	Professional		$321.76	$491.60	$913.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $528.75 / $669.30 / $787.50	Professional		$528.75	$669.30	$787.50