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 $352.47 / $576.66 / $622.94	Professional		$352.47	$576.66	$622.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.58 / $904.54 / $1,130.67	Professional		$697.58	$904.54	$1,130.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $372.45 / $590.14 / $1,029.60	Professional		$372.45	$590.14	$1,029.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.54 / $867.67 / $1,151.00	Facility		$411.54	$867.67	$1,151.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,275.83 / $1,275.83 / $1,275.83	Facility	54	$1,275.83	$1,275.83	$1,275.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.69 / $867.67 / $2,911.84	Professional		$409.69	$867.67	$2,911.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $873.35 / $1,142.28	Facility		$207.58	$873.35	$1,142.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $648.54 / $877.59 / $1,142.28	Professional		$648.54	$877.59	$1,142.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $609.13 / $788.12	Professional		$269.32	$609.13	$788.12
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 $384.60 / $586.05 / $1,091.54	Professional		$384.60	$586.05	$1,091.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $615.49 / $779.10 / $916.60	Professional		$615.49	$779.10	$916.60