Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,250.08 / $3,795.64 / $7,119.04	Facility		$2,250.08	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $195.57 / $461.30	Professional		$83.76	$195.57	$461.30
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 $126.28 / $277.22 / $713.99	Professional		$126.28	$277.22	$713.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $343.69 / $731.07	Professional		$84.53	$343.69	$731.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.80 / $392.63 / $1,735.52	Facility		$156.80	$392.63	$1,735.52
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $342.02 / $342.02 / $342.02	Facility	52	$342.02	$342.02	$342.02
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $85.51 / $85.51 / $85.51	Facility	53	$85.51	$85.51	$85.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.99 / $548.47 / $1,943.60	Professional		$232.99	$548.47	$1,943.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.45 / $561.91 / $906.10	Facility		$201.45	$561.91	$906.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $421.20 / $713.99	Professional		$199.09	$421.20	$713.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $270.52 / $986.57	Professional		$85.94	$270.52	$986.57
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 $248.66 / $362.62 / $737.78	Professional		$248.66	$362.62	$737.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $205.70 / $588.10	Professional		$168.10	$205.70	$588.10