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 $192.84 / $276.87 / $490.56	Professional		$192.84	$276.87	$490.56
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $144.63 / $246.82 / $263.10	Professional	54	$144.63	$246.82	$263.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.01 / $522.03 / $616.46	Professional		$366.01	$522.03	$616.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $201.05 / $316.60 / $683.87	Professional		$201.05	$316.60	$683.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $468.06 / $616.05	Facility		$238.54	$468.06	$616.05
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $681.37 / $681.37 / $681.37	Facility	54	$681.37	$681.37	$681.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.14 / $467.98 / $1,574.88	Professional		$227.14	$467.98	$1,574.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $467.98 / $609.79	Facility		$207.58	$467.98	$609.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $352.79 / $495.63 / $609.79	Professional		$352.79	$495.63	$609.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.16 / $341.79 / $416.46	Professional		$204.16	$341.79	$416.46
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 $214.62 / $330.38 / $615.34	Professional		$214.62	$330.38	$615.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $345.23 / $437.00 / $514.20	Professional		$345.23	$437.00	$514.20