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 $102.70 / $157.15 / $603.23	Professional		$102.70	$157.15	$603.23
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 $122.72 / $258.37 / $328.00	Professional		$122.72	$258.37	$328.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $176.58 / $414.18	Professional		$108.85	$176.58	$414.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.82 / $279.45 / $10,214.08	Facility		$132.82	$279.45	$10,214.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.27 / $252.57 / $842.96	Professional		$126.27	$252.57	$842.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $311.06 / $7,793.16	Facility		$162.00	$311.06	$7,793.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $258.37 / $320.70	Professional		$162.00	$258.37	$320.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $222.16 / $8,754.15	Professional		$102.81	$222.16	$8,754.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,739.00 / $7,405.00 / $10,320.00	Facility		$3,739.00	$7,405.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.78 / $192.14 / $350.34	Professional		$120.78	$192.14	$350.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $227.80 / $268.00	Professional		$179.96	$227.80	$268.00