Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,293.00 / $3,576.15 / $7,119.04	Facility		$2,293.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.09 / $190.55 / $357.85	Professional		$152.09	$190.55	$357.85
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 $183.19 / $401.74 / $500.57	Professional		$183.19	$401.74	$500.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $261.91 / $435.02	Professional		$167.03	$261.91	$435.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.85 / $401.74 / $6,306.00	Facility		$222.85	$401.74	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $378.56 / $1,316.64	Professional		$190.44	$378.56	$1,316.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $482.80 / $2,630.67	Facility		$255.00	$482.80	$2,630.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $395.19 / $502.85	Professional		$234.00	$395.19	$502.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $307.80 / $459.60	Professional		$5.00	$307.80	$459.60
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 $182.58 / $282.33 / $540.30	Professional		$182.58	$282.33	$540.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $279.82 / $354.20 / $416.80	Professional		$279.82	$354.20	$416.80