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 $302.67 / $408.56 / $564.72	Professional		$302.67	$408.56	$564.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.71 / $824.41 / $1,042.05	Professional		$603.71	$824.41	$1,042.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $315.57 / $507.64 / $983.32	Professional		$315.57	$507.64	$983.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $373.12 / $734.40 / $959.59	Facility		$373.12	$734.40	$959.59
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,078.76 / $1,078.76 / $1,078.76	Facility	54	$1,078.76	$1,078.76	$1,078.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $366.40 / $721.11 / $2,472.89	Professional		$366.40	$721.11	$2,472.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $721.11 / $959.59	Facility		$207.58	$721.11	$959.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $781.72 / $959.59	Professional		$575.00	$781.72	$959.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $536.46 / $687.90	Professional		$269.32	$536.46	$687.90
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 $353.39 / $519.54 / $1,057.06	Professional		$353.39	$519.54	$1,057.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $556.63 / $704.60 / $829.00	Professional		$556.63	$704.60	$829.00