Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,758.06 / $7,119.04	Facility		$1,300.00	$3,758.06	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $270.32 / $681.63	Professional		$128.54	$270.32	$681.63
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 $175.52 / $360.40 / $766.74	Professional		$175.52	$360.40	$766.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.03 / $379.00 / $601.80	Professional		$134.03	$379.00	$601.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.72 / $423.35 / $4,217.00	Facility		$229.72	$423.35	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $584.62 / $2,315.60	Professional		$302.43	$584.62	$2,315.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $313.05 / $622.37 / $2,532.54	Facility		$313.05	$622.37	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $308.35 / $417.20 / $766.74	Professional		$308.35	$417.20	$766.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.87 / $318.64 / $2,774.96	Professional		$139.87	$318.64	$2,774.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,484.54 / $5,732.00 / $8,342.00	Facility		$3,484.54	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.94 / $439.90 / $824.82	Professional		$274.94	$439.90	$824.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $329.80 / $702.20	Professional		$269.50	$329.80	$702.20