Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.68 / $4,760.00 / $7,120.36	Facility		$863.68	$4,760.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.34 / $445.66 / $1,134.00	Professional		$244.34	$445.66	$1,134.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,285.00 / $1,285.00	Facility		$1,285.00	$1,285.00	$1,285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.16 / $621.72 / $777.15	Professional		$288.16	$621.72	$777.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.03 / $404.93 / $985.41	Professional		$248.03	$404.93	$985.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $417.20 / $665.16 / $8,571.40	Facility		$417.20	$665.16	$8,571.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $296.86 / $571.62 / $2,020.72	Professional		$296.86	$571.62	$2,020.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $727.80 / $5,383.60	Facility		$432.00	$727.80	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $400.71 / $598.97 / $785.26	Professional		$400.71	$598.97	$785.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $487.70 / $690.90	Professional		$5.00	$487.70	$690.90
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 $274.52 / $453.04 / $812.43	Professional		$274.52	$453.04	$812.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $417.28 / $528.20 / $621.40	Professional		$417.28	$528.20	$621.40