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 $100.80 / $183.10 / $550.89	Professional		$100.80	$183.10	$550.89
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 $124.90 / $294.25 / $437.16	Professional		$124.90	$294.25	$437.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $213.62 / $498.96	Professional		$99.73	$213.62	$498.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.75 / $271.91 / $596.38	Facility		$169.75	$271.91	$596.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.76 / $341.97 / $1,197.76	Professional		$177.76	$341.97	$1,197.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.85 / $270.97 / $437.16	Facility		$199.85	$270.97	$437.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $299.92 / $437.16	Professional		$223.00	$299.92	$437.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $395.50 / $452.00	Professional		$5.00	$395.50	$452.00
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 $162.94 / $270.10 / $482.21	Professional		$162.94	$270.10	$482.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.10 / $250.70 / $361.60	Professional		$213.10	$250.70	$361.60