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 $197.84 / $260.88 / $386.32	Professional		$197.84	$260.88	$386.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.55 / $547.30 / $719.69	Professional		$398.55	$547.30	$719.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $206.26 / $346.45 / $647.86	Professional		$206.26	$346.45	$647.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.91 / $502.94 / $710.30	Facility		$255.91	$502.94	$710.30
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $701.49 / $701.49 / $701.49	Facility	54	$701.49	$701.49	$701.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $495.00 / $1,691.16	Professional		$250.52	$495.00	$1,691.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $481.79 / $656.99	Facility		$207.58	$481.79	$656.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $384.15 / $534.45 / $656.99	Professional		$384.15	$534.45	$656.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $350.65 / $462.81	Professional		$218.72	$350.65	$462.81
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 $236.85 / $364.76 / $672.20	Professional		$236.85	$364.76	$672.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $381.25 / $482.60 / $567.79	Professional		$381.25	$482.60	$567.79