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 $70.31 / $144.41 / $310.62	Professional		$70.31	$144.41	$310.62
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 $89.94 / $202.57 / $482.33	Professional		$89.94	$202.57	$482.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $236.54 / $415.57	Professional		$70.48	$236.54	$415.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.77 / $263.88 / $1,838.54	Facility		$120.77	$263.88	$1,838.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.11 / $368.08 / $1,336.32	Professional		$167.11	$368.08	$1,336.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.29 / $377.59 / $1,156.80	Facility		$166.29	$377.59	$1,156.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.29 / $257.20 / $482.33	Professional		$166.29	$257.20	$482.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $182.44 / $1,256.42	Professional		$73.91	$182.44	$1,256.42
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 $167.09 / $253.51 / $495.13	Professional		$167.09	$253.51	$495.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $172.70 / $402.40	Professional		$141.19	$172.70	$402.40