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 $287.54 / $409.52 / $606.71	Professional		$287.54	$409.52	$606.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.92 / $777.44 / $1,012.83	Professional		$570.92	$777.44	$1,012.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $482.55 / $871.93	Professional		$299.83	$482.55	$871.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $353.75 / $703.78 / $923.53	Facility		$353.75	$703.78	$923.53
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,024.70 / $1,024.70 / $1,024.70	Facility	54	$1,024.70	$1,024.70	$1,024.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $353.67 / $701.97 / $2,366.39	Professional		$353.67	$701.97	$2,366.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $695.89 / $945.84	Facility		$207.58	$695.89	$945.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.00 / $751.82 / $945.84	Professional		$549.00	$751.82	$945.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $509.71 / $661.04	Professional		$269.32	$509.71	$661.04
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 $329.35 / $501.87 / $934.74	Professional		$329.35	$501.87	$934.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $538.94 / $682.20 / $802.60	Professional		$538.94	$682.20	$802.60