Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.09 / $373.67 / $1,236.43	Professional		$220.09	$373.67	$1,236.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $646.00 / $646.00	Facility		$646.00	$646.00	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.31 / $579.82 / $913.23	Professional		$283.31	$579.82	$913.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.83 / $447.86 / $1,000.70	Professional		$215.83	$447.86	$1,000.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $355.73 / $620.97 / $2,309.75	Facility		$355.73	$620.97	$2,309.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $385.51 / $755.57 / $2,453.76	Professional		$385.51	$755.57	$2,453.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $494.91 / $724.16 / $1,183.28	Facility		$494.91	$724.16	$1,183.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $461.26 / $664.84 / $893.40	Professional		$461.26	$664.84	$893.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $682.70 / $870.60	Professional		$5.00	$682.70	$870.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.54 / $553.01 / $1,045.80	Professional		$347.54	$553.01	$1,045.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $436.40 / $513.40 / $751.20	Professional		$436.40	$513.40	$751.20