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 $407.63 / $703.02 / $1,029.75	Professional		$407.63	$703.02	$1,029.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.21 / $1,143.35 / $1,447.18	Professional		$839.21	$1,143.35	$1,447.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $428.74 / $732.72 / $1,395.60	Professional		$428.74	$732.72	$1,395.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $703.02 / $1,113.65 / $3,258.00	Facility		$703.02	$1,113.65	$3,258.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,455.99 / $1,455.99 / $1,455.99	Facility	54	$1,455.99	$1,455.99	$1,455.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.34 / $999.99 / $3,640.83	Professional		$523.34	$999.99	$3,640.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $930.46 / $1,123.72 / $1,597.11	Facility		$930.46	$1,123.72	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $817.00 / $1,076.41 / $1,353.52	Professional		$817.00	$1,076.41	$1,353.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $477.12 / $851.66 / $1,727.45	Professional		$477.12	$851.66	$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 $479.65 / $732.86 / $1,364.96	Professional		$479.65	$732.86	$1,364.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $782.81 / $990.90 / $1,165.70	Professional		$782.81	$990.90	$1,165.70