Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $7,120.36	Facility		$4,227.00	$5,463.36	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $342.85 / $566.27	Professional		$224.60	$342.85	$566.27
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 $264.08 / $567.17 / $708.98	Professional		$264.08	$567.17	$708.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $227.15 / $370.14 / $792.22	Professional		$227.15	$370.14	$792.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $352.70 / $605.82 / $6,837.54	Facility		$352.70	$605.82	$6,837.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.56 / $525.44 / $1,847.12	Professional		$274.56	$525.44	$1,847.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $409.00 / $664.15 / $2,571.84	Facility		$409.00	$664.15	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $368.47 / $548.03 / $721.44	Professional		$368.47	$548.03	$721.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $447.70 / $627.79	Professional		$5.00	$447.70	$627.79
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 $251.68 / $366.08 / $744.81	Professional		$251.68	$366.08	$744.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $381.73 / $483.20 / $568.50	Professional		$381.73	$483.20	$568.50