Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.81 / $405.12 / $1,448.00	Professional		$296.81	$405.12	$1,448.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.99 / $724.16 / $937.84	Professional		$384.99	$724.16	$937.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.78 / $443.36 / $782.18	Professional		$248.78	$443.36	$782.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $378.73 / $707.88 / $7,123.00	Facility		$378.73	$707.88	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.52 / $650.58 / $1,990.64	Professional		$380.52	$650.58	$1,990.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $594.61 / $834.27 / $2,256.42	Facility		$594.61	$834.27	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $498.70 / $660.59 / $905.25	Professional		$498.70	$660.59	$905.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $488.91 / $2,471.88	Professional		$264.70	$488.91	$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 $345.67 / $475.65 / $852.53	Professional		$345.67	$475.65	$852.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $466.02 / $569.90 / $694.00	Professional		$466.02	$569.90	$694.00