Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.48 / $5,463.36 / $8,551.20	Facility		$636.48	$5,463.36	$8,551.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $203.89 / $458.52	Professional		$169.08	$203.89	$458.52
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 $212.20 / $462.01 / $577.51	Professional		$212.20	$462.01	$577.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $182.64 / $299.29 / $599.03	Professional		$182.64	$299.29	$599.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $284.74 / $474.84 / $6,692.06	Facility		$284.74	$474.84	$6,692.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.21 / $420.05 / $1,496.64	Professional		$213.21	$420.05	$1,496.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $536.84 / $2,571.84	Facility		$315.00	$536.84	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $278.61 / $426.74 / $577.36	Professional		$278.61	$426.74	$577.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $362.50 / $511.10	Professional		$5.00	$362.50	$511.10
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 $201.05 / $310.70 / $594.97	Professional		$201.05	$310.70	$594.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $308.73 / $390.80 / $459.80	Professional		$308.73	$390.80	$459.80