Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,293.00 / $3,733.79 / $7,119.04	Facility		$2,293.00	$3,733.79	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $430.51 / $829.78	Professional		$112.31	$430.51	$829.78
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 $172.92 / $362.80 / $1,270.23	Professional		$172.92	$362.80	$1,270.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $430.78 / $716.36	Professional		$113.57	$430.78	$716.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $491.05 / $2,559.00	Facility		$199.80	$491.05	$2,559.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $422.66 / $422.66 / $422.66	Facility	52	$422.66	$422.66	$422.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $953.45 / $3,618.00	Professional		$233.00	$953.45	$3,618.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $1,001.26 / $1,265.92	Facility		$257.64	$1,001.26	$1,265.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $522.10 / $1,232.91	Professional		$224.10	$522.10	$1,232.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.91 / $434.57 / $1,300.43	Professional		$112.91	$434.57	$1,300.43
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 $227.09 / $742.02 / $1,484.04	Professional		$227.09	$742.02	$1,484.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $274.00 / $1,074.40	Professional		$224.00	$274.00	$1,074.40