Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,792.94 / $3,795.64 / $7,119.04	Facility		$1,792.94	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $201.47 / $520.77	Professional		$92.25	$201.47	$520.77
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 $121.70 / $269.00 / $578.02	Professional		$121.70	$269.00	$578.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $275.77 / $457.32	Professional		$98.58	$275.77	$457.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $310.41 / $1,564.36	Facility		$168.40	$310.41	$1,564.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.66 / $440.76 / $1,746.00	Professional		$222.66	$440.76	$1,746.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.29 / $470.49 / $885.36	Facility		$230.29	$470.49	$885.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $222.66 / $310.77 / $578.02	Professional		$222.66	$310.77	$578.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $243.78 / $971.59	Professional		$103.26	$243.78	$971.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $3,482.00 / $5,454.00	Facility		$1,321.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.97 / $328.06 / $615.12	Professional		$214.97	$328.06	$615.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $243.40 / $531.50	Professional		$198.90	$243.40	$531.50