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 $317.02 / $453.55 / $834.86	Professional		$317.02	$453.55	$834.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.71 / $744.04 / $930.05	Professional		$546.71	$744.04	$930.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $466.26 / $1,011.49	Professional		$297.33	$466.26	$1,011.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.80 / $709.61 / $943.47	Facility		$358.80	$709.61	$943.47
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $970.65 / $970.65 / $970.65	Facility	54	$970.65	$970.65	$970.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.23 / $669.00 / $2,363.92	Professional		$331.23	$669.00	$2,363.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $683.42 / $851.50	Facility		$207.58	$683.42	$851.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $546.71 / $702.00 / $851.50	Professional		$546.71	$702.00	$851.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $482.49 / $603.33	Professional		$269.32	$482.49	$603.33
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 $299.02 / $512.60 / $927.04	Professional		$299.02	$512.60	$927.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $494.30 / $625.70 / $736.10	Professional		$494.30	$625.70	$736.10