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 $154.63 / $343.69 / $845.60	Professional		$154.63	$343.69	$845.60
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 $201.60 / $443.11 / $1,136.14	Professional		$201.60	$443.11	$1,136.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $550.94 / $923.69	Professional		$150.30	$550.94	$923.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $266.27 / $662.59 / $2,748.83	Facility		$266.27	$662.59	$2,748.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $392.36 / $889.63 / $3,110.96	Professional		$392.36	$889.63	$3,110.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $374.68 / $898.11 / $1,522.92	Facility		$374.68	$898.11	$1,522.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $345.71 / $658.82 / $1,136.14	Professional		$345.71	$658.82	$1,136.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $740.90 / $1,171.40	Professional		$5.00	$740.90	$1,171.40
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 $414.26 / $691.13 / $1,231.51	Professional		$414.26	$691.13	$1,231.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $304.80 / $373.00 / $931.70	Professional		$304.80	$373.00	$931.70