Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,142.86 / $3,795.64 / $7,119.04	Facility		$2,142.86	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $238.68 / $811.00	Professional		$108.29	$238.68	$811.00
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 $150.58 / $297.83 / $584.97	Professional		$150.58	$297.83	$584.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $275.82 / $512.64	Professional		$98.78	$275.82	$512.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.51 / $313.89 / $2,541.65	Facility		$185.51	$313.89	$2,541.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.01 / $445.72 / $1,605.28	Professional		$226.01	$445.72	$1,605.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $241.63 / $462.87 / $1,183.28	Facility		$241.63	$462.87	$1,183.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $241.63 / $337.63 / $584.97	Professional		$241.63	$337.63	$584.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $409.30 / $599.10	Professional		$5.00	$409.30	$599.10
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 $215.81 / $316.27 / $639.76	Professional		$215.81	$316.27	$639.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.10 / $260.70 / $480.20	Professional		$213.10	$260.70	$480.20