Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.38 / $2,991.00 / $6,446.00	Facility		$780.38	$2,991.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.76 / $374.55 / $1,089.38	Professional		$238.76	$374.55	$1,089.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $585.78 / $918.76	Professional		$265.64	$585.78	$918.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $231.79 / $449.89 / $688.33	Professional		$231.79	$449.89	$688.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $360.71 / $632.50 / $3,396.00	Facility		$360.71	$632.50	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $373.11 / $729.65 / $2,523.76	Professional		$373.11	$729.65	$2,523.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $537.12 / $750.37 / $2,440.29	Facility		$537.12	$750.37	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $651.91 / $918.76	Professional		$463.00	$651.91	$918.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $646.90 / $907.20	Professional		$5.00	$646.90	$907.20
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 $348.90 / $533.60 / $1,032.52	Professional		$348.90	$533.60	$1,032.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $473.60 / $557.20 / $767.10	Professional		$473.60	$557.20	$767.10