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 $215.84 / $286.36 / $405.32	Professional		$215.84	$286.36	$405.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.73 / $583.88 / $744.04	Professional		$432.73	$583.88	$744.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $224.83 / $361.44 / $673.47	Professional		$224.83	$361.44	$673.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $268.91 / $538.60 / $751.57	Facility		$268.91	$538.60	$751.57
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $764.03 / $764.03 / $764.03	Facility	54	$764.03	$764.03	$764.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $532.11 / $1,800.63	Professional		$264.95	$532.11	$1,800.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $524.75 / $679.85	Facility		$207.58	$524.75	$679.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.00 / $564.77 / $679.85	Professional		$416.00	$564.77	$679.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.36 / $382.20 / $476.90	Professional		$230.36	$382.20	$476.90
United Facility/Professional Facility Modifier Low / Median / High Price $314.98 / $720.98 / $1,966.00	Facility		$314.98	$720.98	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.05 / $382.76 / $695.47	Professional		$245.05	$382.76	$695.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $393.42 / $498.00 / $585.90	Professional		$393.42	$498.00	$585.90