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 $178.14 / $275.33 / $580.58	Professional		$178.14	$275.33	$580.58
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $133.61 / $222.25 / $244.12	Professional	54	$133.61	$222.25	$244.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $475.57 / $601.65	Professional		$336.00	$475.57	$601.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.04 / $294.45 / $486.54	Professional		$179.04	$294.45	$486.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $423.70 / $616.05	Facility		$238.54	$423.70	$616.05
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $641.12 / $641.12 / $641.12	Facility	54	$641.12	$641.12	$641.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.52 / $419.15 / $1,461.60	Professional		$208.52	$419.15	$1,461.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $421.19 / $557.26	Facility		$207.58	$421.19	$557.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $314.00 / $447.86 / $557.26	Professional		$314.00	$447.86	$557.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.05 / $318.55 / $406.62	Professional		$200.05	$318.55	$406.62
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 $194.88 / $296.95 / $553.09	Professional		$194.88	$296.95	$553.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $326.51 / $413.30 / $486.20	Professional		$326.51	$413.30	$486.20