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 $443.40 / $719.19 / $833.73	Professional		$443.40	$719.19	$833.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.49 / $1,208.38 / $1,510.48	Professional		$878.49	$1,208.38	$1,510.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $459.12 / $771.77 / $1,482.66	Professional		$459.12	$771.77	$1,482.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $504.32 / $1,080.05 / $1,435.94	Facility		$504.32	$1,080.05	$1,435.94
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,572.54 / $1,572.54 / $1,572.54	Facility	54	$1,572.54	$1,572.54	$1,572.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $551.16 / $1,080.05 / $3,820.30	Professional		$551.16	$1,080.05	$3,820.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $1,080.05 / $1,419.24	Facility		$207.58	$1,080.05	$1,419.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $871.45 / $1,176.75 / $1,430.38	Professional		$871.45	$1,176.75	$1,430.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $750.04 / $1,022.84	Professional		$269.32	$750.04	$1,022.84
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 $515.05 / $784.85 / $1,553.46	Professional		$515.05	$784.85	$1,553.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $820.34 / $1,038.40 / $1,221.59	Professional		$820.34	$1,038.40	$1,221.59