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 $157.51 / $230.13 / $393.82	Professional		$157.51	$230.13	$393.82
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 $210.85 / $425.00 / $630.52	Professional		$210.85	$425.00	$630.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.74 / $315.47 / $619.88	Professional		$158.74	$315.47	$619.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.01 / $428.14 / $4,217.00	Facility		$257.01	$428.14	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $507.89 / $2,081.96	Professional		$259.27	$507.89	$2,081.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $511.65 / $2,440.29	Facility		$369.00	$511.65	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $332.64 / $449.17 / $630.52	Professional		$332.64	$449.17	$630.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $435.50 / $611.50	Professional		$5.00	$435.50	$611.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $5,327.00 / $8,342.00	Facility		$1,770.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.67 / $421.54 / $679.88	Professional		$237.67	$421.54	$679.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $382.80 / $530.79	Professional		$325.39	$382.80	$530.79