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 $113.12 / $207.02 / $492.81	Professional		$113.12	$207.02	$492.81
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 $157.21 / $319.50 / $586.08	Professional		$157.21	$319.50	$586.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $284.33 / $493.79	Professional		$120.02	$284.33	$493.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $206.87 / $346.55 / $3,396.00	Facility		$206.87	$346.55	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.36 / $433.40 / $1,608.00	Professional		$223.36	$433.40	$1,608.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $269.20 / $461.49 / $2,440.29	Facility		$269.20	$461.49	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $240.32 / $378.55 / $568.85	Professional		$240.32	$378.55	$568.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $388.90 / $586.20	Professional		$5.00	$388.90	$586.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,163.00 / $8,837.89	Facility		$3,044.00	$5,163.00	$8,837.89
United Facility/Professional Professional Modifier Low / Median / High Price $204.74 / $324.45 / $605.91	Professional		$204.74	$324.45	$605.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.40 / $292.89 / $485.50	Professional		$239.40	$292.89	$485.50