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 $306.76 / $374.43 / $661.16	Professional		$306.76	$374.43	$661.16
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 $358.11 / $747.16 / $933.95	Professional		$358.11	$747.16	$933.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $306.47 / $518.91 / $1,132.74	Professional		$306.47	$518.91	$1,132.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.43 / $798.58 / $4,036.74	Facility		$475.43	$798.58	$4,036.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.76 / $735.79 / $2,475.52	Professional		$381.76	$735.79	$2,475.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $869.71 / $2,165.34	Facility		$593.00	$869.71	$2,165.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $518.98 / $729.99 / $1,009.12	Professional		$518.98	$729.99	$1,009.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $616.90 / $839.10	Professional		$5.00	$616.90	$839.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.52 / $538.09 / $1,035.60	Professional		$349.52	$538.09	$1,035.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $508.52 / $643.70 / $757.30	Professional		$508.52	$643.70	$757.30