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 $253.38 / $361.19 / $1,441.51	Professional		$253.38	$361.19	$1,441.51
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 $318.39 / $605.36 / $852.89	Professional		$318.39	$605.36	$852.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $439.56 / $1,153.58	Professional		$258.58	$439.56	$1,153.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $430.75 / $713.77 / $10,320.00	Facility		$430.75	$713.77	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $324.83 / $643.75 / $2,037.76	Professional		$324.83	$643.75	$2,037.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $506.66 / $818.02 / $6,699.55	Facility		$506.66	$818.02	$6,699.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $488.49 / $638.09 / $831.13	Professional		$488.49	$638.09	$831.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $545.29 / $662.40	Professional		$4.00	$545.29	$662.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $6,588.00 / $10,320.00	Facility		$1,770.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.76 / $512.20 / $881.18	Professional		$297.76	$512.20	$881.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $417.75 / $528.79 / $622.10	Professional		$417.75	$528.79	$622.10