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 $170.95 / $304.56 / $959.30	Professional		$170.95	$304.56	$959.30
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 $208.35 / $471.57 / $816.50	Professional		$208.35	$471.57	$816.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.83 / $384.56 / $789.44	Professional		$171.83	$384.56	$789.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $247.08 / $461.95 / $857.51	Facility		$247.08	$461.95	$857.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.30 / $630.84 / $2,306.48	Professional		$317.30	$630.84	$2,306.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.07 / $447.94 / $772.41	Facility		$209.07	$447.94	$772.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $517.61 / $772.41	Professional		$355.00	$517.61	$772.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $575.40 / $840.20	Professional		$5.00	$575.40	$840.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $1,966.00	Facility		$1,026.00	$1,607.00	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.94 / $478.01 / $861.62	Professional		$299.94	$478.01	$861.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $357.50 / $437.40 / $702.20	Professional		$357.50	$437.40	$702.20