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 $418.07 / $690.98 / $743.43	Professional		$418.07	$690.98	$743.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.33 / $1,082.17 / $1,352.71	Professional		$841.33	$1,082.17	$1,352.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $435.85 / $693.02 / $1,251.29	Professional		$435.85	$693.02	$1,251.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $626.91 / $1,144.88 / $2,962.51	Facility		$626.91	$1,144.88	$2,962.51
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $3,154.80 / $3,154.80 / $3,154.80	Facility	54	$3,154.80	$3,154.80	$3,154.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $481.33 / $901.66 / $3,514.08	Professional		$481.33	$901.66	$3,514.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $1,164.76 / $1,597.11	Facility		$819.00	$1,164.76	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $690.44 / $1,045.06 / $1,366.85	Professional		$690.44	$1,045.06	$1,366.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $462.01 / $857.14 / $1,729.73	Professional		$462.01	$857.14	$1,729.73
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 $458.74 / $713.21 / $1,303.96	Professional		$458.74	$713.21	$1,303.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $735.65 / $931.20 / $1,095.50	Professional		$735.65	$931.20	$1,095.50