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 $432.76 / $707.93 / $775.44	Professional		$432.76	$707.93	$775.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.00 / $1,126.58 / $1,408.22	Professional		$853.00	$1,126.58	$1,408.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $458.60 / $719.55 / $1,241.95	Professional		$458.60	$719.55	$1,241.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $1,036.96 / $1,310.96	Facility		$495.00	$1,036.96	$1,310.96
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,570.45 / $1,570.45 / $1,570.45	Facility	54	$1,570.45	$1,570.45	$1,570.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $507.58 / $1,036.96 / $3,596.48	Professional		$507.58	$1,036.96	$3,596.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $1,070.23 / $1,399.79	Facility		$207.58	$1,070.23	$1,399.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $802.60 / $1,083.77 / $1,399.79	Professional		$802.60	$1,083.77	$1,399.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $763.48 / $978.01	Professional		$269.32	$763.48	$978.01
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 $476.22 / $727.15 / $1,354.32	Professional		$476.22	$727.15	$1,354.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $764.56 / $967.80 / $1,138.50	Professional		$764.56	$967.80	$1,138.50