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 $123.80 / $225.43 / $713.49	Professional		$123.80	$225.43	$713.49
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 $170.10 / $331.09 / $600.87	Professional		$170.10	$331.09	$600.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $234.34 / $569.19	Professional		$123.64	$234.34	$569.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $403.36 / $4,871.77	Facility		$225.43	$403.36	$4,871.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $328.00 / $1,865.75	Professional		$157.13	$328.00	$1,865.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $248.68 / $400.43 / $1,622.05	Facility		$248.68	$400.43	$1,622.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $238.96 / $331.09 / $415.06	Professional		$238.96	$331.09	$415.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $398.30 / $485.30	Professional		$5.00	$398.30	$485.30
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 $144.05 / $266.14 / $426.28	Professional		$144.05	$266.14	$426.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $203.82 / $258.00 / $303.50	Professional		$203.82	$258.00	$303.50