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 $102.74 / $173.21 / $545.41	Professional		$102.74	$173.21	$545.41
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 $126.31 / $285.35 / $570.98	Professional		$126.31	$285.35	$570.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.54 / $296.89 / $572.62	Professional		$100.54	$296.89	$572.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.88 / $379.48 / $1,838.54	Facility		$171.88	$379.48	$1,838.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.99 / $456.20 / $1,662.24	Professional		$230.99	$456.20	$1,662.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $244.37 / $483.61 / $1,156.80	Facility		$244.37	$483.61	$1,156.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $236.35 / $327.45 / $567.01	Professional		$236.35	$327.45	$567.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.15 / $251.23 / $1,256.42	Professional		$112.15	$251.23	$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 $203.31 / $311.47 / $626.61	Professional		$203.31	$311.47	$626.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $252.00 / $510.40	Professional		$206.00	$252.00	$510.40