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 $90.68 / $139.81 / $533.11	Professional		$90.68	$139.81	$533.11
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 $103.81 / $228.53 / $290.45	Professional		$103.81	$228.53	$290.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $164.76 / $369.70	Professional		$96.14	$164.76	$369.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.72 / $240.54 / $6,306.00	Facility		$132.72	$240.54	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $221.47 / $746.56	Professional		$108.00	$221.47	$746.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $273.73 / $2,630.67	Facility		$119.00	$273.73	$2,630.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $228.53 / $276.23	Professional		$119.00	$228.53	$276.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $196.99 / $2,838.74	Professional		$91.03	$196.99	$2,838.74
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 $103.20 / $168.35 / $300.77	Professional		$103.20	$168.35	$300.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $201.50 / $237.10	Professional		$159.19	$201.50	$237.10