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 $163.06 / $266.08 / $514.39	Professional		$163.06	$266.08	$514.39
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 $202.38 / $448.25 / $710.99	Professional		$202.38	$448.25	$710.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $170.67 / $348.14 / $722.73	Professional		$170.67	$348.14	$722.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.06 / $458.27 / $1,151.00	Facility		$267.06	$458.27	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $286.89 / $553.75 / $2,401.00	Professional		$286.89	$553.75	$2,401.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $487.00 / $685.38	Facility		$388.00	$487.00	$685.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $348.79 / $485.20 / $710.99	Professional		$348.79	$485.20	$710.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $483.10 / $698.50	Professional		$5.00	$483.10	$698.50
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 $265.94 / $391.77 / $787.00	Professional		$265.94	$391.77	$787.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $349.80 / $411.50 / $588.10	Professional		$349.80	$411.50	$588.10