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 $76.77 / $207.15 / $465.58	Professional		$76.77	$207.15	$465.58
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 $101.86 / $249.75 / $706.83	Professional		$101.86	$249.75	$706.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.41 / $348.09 / $483.07	Professional		$77.41	$348.09	$483.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.54 / $361.59 / $3,973.85	Facility		$132.54	$361.59	$3,973.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $517.85 / $2,016.88	Professional		$200.40	$517.85	$2,016.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.51 / $558.29 / $2,532.54	Facility		$177.51	$558.29	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $361.59 / $706.83	Professional		$154.41	$361.59	$706.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $274.97 / $2,805.10	Professional		$81.81	$274.97	$2,805.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $5,327.00 / $8,342.00	Facility		$1,770.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.83 / $391.76 / $777.66	Professional		$250.83	$391.76	$777.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $190.00 / $607.79	Professional		$155.30	$190.00	$607.79