Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $378.35 / $619.72	Professional		$264.64	$378.35	$619.72
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 $295.05 / $675.89 / $984.81	Professional		$295.05	$675.89	$984.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $252.06 / $486.35 / $841.69	Professional		$252.06	$486.35	$841.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.10 / $688.90 / $3,396.00	Facility		$408.10	$688.90	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.00 / $790.38 / $2,696.72	Professional		$401.00	$790.38	$2,696.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $582.98 / $821.03 / $2,440.29	Facility		$582.98	$821.03	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $713.08 / $984.81	Professional		$510.00	$713.08	$984.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $702.00 / $972.80	Professional		$5.00	$702.00	$972.80
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 $379.52 / $677.18 / $1,123.14	Professional		$379.52	$677.18	$1,123.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $514.00 / $604.79 / $819.90	Professional		$514.00	$604.79	$819.90