Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,795.64 / $7,119.04	Facility		$2,218.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.40 / $574.04 / $684.14	Professional		$354.40	$574.04	$684.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.22 / $1,002.47 / $1,257.27	Professional		$731.22	$1,002.47	$1,257.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $629.91 / $1,147.21	Professional		$373.28	$629.91	$1,147.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.60 / $888.85 / $1,165.10	Facility		$411.60	$888.85	$1,165.10
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,275.83 / $1,275.83 / $1,275.83	Facility	54	$1,275.83	$1,275.83	$1,275.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $453.45 / $872.75 / $3,129.90	Professional		$453.45	$872.75	$3,129.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $876.26 / $1,181.81	Facility		$207.58	$876.26	$1,181.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $710.66 / $956.96 / $1,181.81	Professional		$710.66	$956.96	$1,181.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $634.57 / $861.31	Professional		$269.32	$634.57	$861.31
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 $440.09 / $640.13 / $1,302.38	Professional		$440.09	$640.13	$1,302.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $675.85 / $855.50 / $1,006.40	Professional		$675.85	$855.50	$1,006.40