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 $93.62 / $163.99 / $508.21	Professional		$93.62	$163.99	$508.21
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 $115.65 / $271.70 / $559.69	Professional		$115.65	$271.70	$559.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $278.31 / $561.50	Professional		$95.45	$278.31	$561.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.75 / $350.89 / $3,973.85	Facility		$162.75	$350.89	$3,973.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.37 / $424.25 / $1,560.56	Professional		$210.37	$424.25	$1,560.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $217.81 / $434.68 / $2,532.54	Facility		$217.81	$434.68	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $310.77 / $524.70	Professional		$217.81	$310.77	$524.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $226.90 / $2,774.96	Professional		$105.72	$226.90	$2,774.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $5,327.00 / $8,342.00	Facility		$1,770.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.84 / $327.83 / $570.69	Professional		$192.84	$327.83	$570.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $238.70 / $477.90	Professional		$195.10	$238.70	$477.90