Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.83 / $350.40 / $678.76	Professional		$209.83	$350.40	$678.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.89 / $588.27 / $862.14	Professional		$260.89	$588.27	$862.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.80 / $438.02 / $856.15	Professional		$221.80	$438.02	$856.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $310.64 / $614.94 / $3,396.00	Facility		$310.64	$614.94	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.49 / $680.98 / $2,601.36	Professional		$338.49	$680.98	$2,601.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $487.95 / $739.31 / $2,532.54	Facility		$487.95	$739.31	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $440.04 / $602.29 / $862.14	Professional		$440.04	$602.29	$862.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $565.79 / $926.40	Professional		$5.00	$565.79	$926.40
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 $323.11 / $492.35 / $938.90	Professional		$323.11	$492.35	$938.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $473.60 / $557.20 / $792.00	Professional		$473.60	$557.20	$792.00