Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $359.74 / $989.48	Professional		$164.14	$359.74	$989.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.66 / $449.17 / $1,097.71	Professional		$211.66	$449.17	$1,097.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $453.59 / $978.46	Professional		$158.87	$453.59	$978.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.54 / $624.84 / $3,044.00	Facility		$281.54	$624.84	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $798.21 / $3,314.00	Professional		$281.00	$798.21	$3,314.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $324.43 / $910.06 / $1,522.92	Facility		$324.43	$910.06	$1,522.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $314.61 / $535.02 / $1,169.76	Professional		$314.61	$535.02	$1,169.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.28 / $407.50 / $1,715.33	Professional		$165.28	$407.50	$1,715.33
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 $267.80 / $609.83 / $1,219.65	Professional		$267.80	$609.83	$1,219.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $397.30 / $996.60	Professional		$324.70	$397.30	$996.60