Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.95 / $265.00 / $1,056.31	Professional		$174.95	$265.00	$1,056.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $501.55 / $747.94	Professional		$264.00	$501.55	$747.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.08 / $316.61 / $576.71	Professional		$164.08	$316.61	$576.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $479.20 / $7,123.00	Facility		$265.00	$479.20	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.94 / $468.52 / $1,311.84	Professional		$261.94	$468.52	$1,311.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $395.91 / $640.25 / $2,256.42	Facility		$395.91	$640.25	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $336.03 / $469.75 / $707.16	Professional		$336.03	$469.75	$707.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.89 / $338.99 / $2,471.88	Professional		$185.89	$338.99	$2,471.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $357.20 / $620.47	Professional		$260.64	$357.20	$620.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $322.50 / $379.40 / $551.70	Professional		$322.50	$379.40	$551.70