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 $81.27 / $213.95 / $489.20	Professional		$81.27	$213.95	$489.20
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 $107.32 / $288.17 / $779.97	Professional		$107.32	$288.17	$779.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $361.63 / $551.19	Professional		$80.19	$361.63	$551.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.29 / $372.40 / $1,564.36	Facility		$137.29	$372.40	$1,564.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.84 / $543.01 / $2,121.04	Professional		$214.84	$543.01	$2,121.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $187.24 / $592.16 / $924.50	Facility		$187.24	$592.16	$924.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $392.00 / $779.97	Professional		$162.87	$392.00	$779.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $292.01 / $982.15	Professional		$90.64	$292.01	$982.15
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 $263.31 / $400.29 / $814.41	Professional		$263.31	$400.29	$814.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $201.00 / $641.79	Professional		$164.30	$201.00	$641.79