Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,287.10 / $7,119.04	Facility		$2,906.00	$4,287.10	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.27 / $269.01 / $730.89	Professional		$164.27	$269.01	$730.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.25 / $519.08 / $685.61	Professional		$262.25	$519.08	$685.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $318.14 / $547.15	Professional		$167.20	$318.14	$547.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.02 / $468.65 / $4,869.67	Facility		$265.02	$468.65	$4,869.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.81 / $447.56 / $1,349.04	Professional		$265.81	$447.56	$1,349.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $402.48 / $587.22 / $1,331.66	Facility		$402.48	$587.22	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $344.83 / $463.14 / $632.95	Professional		$344.83	$463.14	$632.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.05 / $324.75 / $1,459.54	Professional		$177.05	$324.75	$1,459.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.66 / $350.28 / $721.08	Professional		$243.66	$350.28	$721.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $327.90 / $385.70 / $502.20	Professional		$327.90	$385.70	$502.20