Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $229.05 / $552.25	Professional		$126.43	$229.05	$552.25
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 $147.46 / $336.06 / $464.78	Professional		$147.46	$336.06	$464.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $232.15 / $394.72	Professional		$129.72	$232.15	$394.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.38 / $336.06 / $957.48	Facility		$193.38	$336.06	$957.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.45 / $374.09 / $1,278.16	Professional		$191.45	$374.09	$1,278.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $263.29 / $409.56 / $534.97	Facility		$263.29	$409.56	$534.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.59 / $336.06 / $464.78	Professional		$245.59	$336.06	$464.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $314.50 / $457.00	Professional		$5.00	$314.50	$457.00
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 $180.00 / $266.37 / $541.94	Professional		$180.00	$266.37	$541.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $260.62 / $310.30 / $388.10	Professional		$260.62	$310.30	$388.10