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 $460.60 / $562.78 / $837.71	Professional		$460.60	$562.78	$837.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.66 / $1,197.43 / $1,528.98	Professional		$896.66	$1,197.43	$1,528.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.67 / $778.41 / $1,389.20	Professional		$478.67	$778.41	$1,389.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.41 / $1,125.90 / $1,449.77	Facility		$524.41	$1,125.90	$1,449.77
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,639.31 / $1,639.31 / $1,639.31	Facility	54	$1,639.31	$1,639.31	$1,639.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $563.94 / $1,118.79 / $3,865.96	Professional		$563.94	$1,118.79	$3,865.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $1,125.90 / $1,463.30	Facility		$207.58	$1,125.90	$1,463.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $878.11 / $1,185.74 / $1,463.30	Professional		$878.11	$1,185.74	$1,463.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $789.24 / $1,031.82	Professional		$269.32	$789.24	$1,031.82
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 $518.71 / $812.76 / $1,608.15	Professional		$518.71	$812.76	$1,608.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $828.95 / $1,049.30 / $1,234.40	Professional		$828.95	$1,049.30	$1,234.40