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 $102.04 / $171.14 / $540.63	Professional		$102.04	$171.14	$540.63
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 $134.99 / $283.39 / $597.79	Professional		$134.99	$283.39	$597.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.85 / $290.18 / $657.40	Professional		$99.85	$290.18	$657.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.84 / $369.16 / $3,973.85	Facility		$169.84	$369.16	$3,973.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.84 / $454.21 / $1,626.16	Professional		$215.84	$454.21	$1,626.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $241.24 / $471.38 / $2,532.54	Facility		$241.24	$471.38	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.88 / $324.33 / $597.79	Professional		$218.88	$324.33	$597.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $246.26 / $2,774.96	Professional		$111.51	$246.26	$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 $206.46 / $347.47 / $610.99	Professional		$206.46	$347.47	$610.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $250.50 / $499.10	Professional		$204.70	$250.50	$499.10