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 $267.89 / $339.49 / $499.68	Professional		$267.89	$339.49	$499.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.00 / $724.35 / $856.31	Professional		$519.00	$724.35	$856.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $268.06 / $443.11 / $730.91	Professional		$268.06	$443.11	$730.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.47 / $642.28 / $844.83	Facility		$333.47	$642.28	$844.83
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $956.89 / $956.89 / $956.89	Facility	54	$956.89	$956.89	$956.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.10 / $633.54 / $2,186.08	Professional		$323.10	$633.54	$2,186.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $646.00 / $856.31	Facility		$207.58	$646.00	$856.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $492.00 / $691.74 / $856.31	Professional		$492.00	$691.74	$856.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.58 / $475.76 / $611.92	Professional		$268.58	$475.76	$611.92
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 $302.73 / $461.30 / $855.40	Professional		$302.73	$461.30	$855.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $497.38 / $629.60 / $740.70	Professional		$497.38	$629.60	$740.70