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 $81.72 / $147.83 / $407.35	Professional		$81.72	$147.83	$407.35
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 $100.07 / $227.89 / $507.12	Professional		$100.07	$227.89	$507.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $265.74 / $514.25	Professional		$80.19	$265.74	$514.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.29 / $306.54 / $3,396.00	Facility		$137.29	$306.54	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $374.59 / $1,494.96	Professional		$180.00	$374.59	$1,494.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.84 / $428.16 / $2,532.54	Facility		$192.84	$428.16	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.96 / $260.72 / $494.85	Professional		$174.96	$260.72	$494.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $210.47 / $2,774.96	Professional		$88.99	$210.47	$2,774.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $4,878.97 / $7,305.00	Facility		$2,559.00	$4,878.97	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.81 / $319.08 / $511.89	Professional		$182.81	$319.08	$511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $201.00 / $456.80	Professional		$164.30	$201.00	$456.80