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 $396.92 / $500.98 / $760.66	Professional		$396.92	$500.98	$760.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.08 / $1,081.51 / $1,394.59	Professional		$811.08	$1,081.51	$1,394.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $414.74 / $704.63 / $1,348.22	Professional		$414.74	$704.63	$1,348.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $684.12 / $1,081.51 / $3,258.00	Facility		$684.12	$1,081.51	$3,258.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,415.72 / $1,415.72 / $1,415.72	Facility	54	$1,415.72	$1,415.72	$1,415.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $507.32 / $972.34 / $3,513.14	Professional		$507.32	$972.34	$3,513.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $897.27 / $1,081.51 / $1,597.11	Facility		$897.27	$1,081.51	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $788.00 / $1,054.34 / $1,305.48	Professional		$788.00	$1,054.34	$1,305.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $463.42 / $824.74 / $1,727.45	Professional		$463.42	$824.74	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.21 / $705.84 / $1,314.63	Professional		$463.21	$705.84	$1,314.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $753.34 / $953.60 / $1,121.90	Professional		$753.34	$953.60	$1,121.90