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 $212.64 / $359.67 / $828.87	Professional		$212.64	$359.67	$828.87
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 $272.30 / $559.84 / $952.39	Professional		$272.30	$559.84	$952.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.11 / $473.54 / $717.92	Professional		$211.11	$473.54	$717.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $355.28 / $589.85 / $1,838.54	Facility		$355.28	$589.85	$1,838.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $374.15 / $733.38 / $2,606.40	Professional		$374.15	$733.38	$2,606.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $507.29 / $778.01 / $1,156.80	Facility		$507.29	$778.01	$1,156.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $459.92 / $622.02 / $952.39	Professional		$459.92	$622.02	$952.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $622.10 / $949.20	Professional		$5.00	$622.10	$949.20
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 $355.64 / $546.97 / $1,059.10	Professional		$355.64	$546.97	$1,059.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $447.30 / $541.94 / $807.10	Professional		$447.30	$541.94	$807.10