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 $134.94 / $176.62 / $352.02	Professional		$134.94	$176.62	$352.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $371.59 / $454.13	Professional		$261.00	$371.59	$454.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.50 / $225.90 / $365.21	Professional		$138.50	$225.90	$365.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.08 / $355.34 / $616.05	Facility		$205.08	$355.34	$616.05
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $474.73 / $474.73 / $474.73	Facility	54	$474.73	$474.73	$474.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.59 / $336.20 / $1,105.20	Professional		$170.59	$336.20	$1,105.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $182.08 / $326.05 / $440.09	Facility		$182.08	$326.05	$440.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $247.65 / $366.33 / $441.46	Professional		$247.65	$366.33	$441.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $243.40 / $310.18	Professional		$144.00	$243.40	$310.18
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 $162.71 / $247.94 / $461.78	Professional		$162.71	$247.94	$461.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $328.60 / $386.60	Professional		$259.58	$328.60	$386.60