Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,389.44 / $3,666.78 / $6,446.00	Facility		$2,389.44	$3,666.78	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.69 / $394.47 / $1,464.00	Professional		$210.69	$394.47	$1,464.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.67 / $601.85 / $894.99	Professional		$303.67	$601.85	$894.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.95 / $371.50 / $616.94	Professional		$194.95	$371.50	$616.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $320.57 / $578.72 / $2,969.00	Facility		$320.57	$578.72	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $533.24 / $1,576.08	Professional		$310.58	$533.24	$1,576.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $466.52 / $647.61 / $899.26	Facility		$466.52	$647.61	$899.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $409.54 / $555.59 / $827.52	Professional		$409.54	$555.59	$827.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.38 / $376.26 / $769.37	Professional		$199.38	$376.26	$769.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $443.70 / $770.74	Professional		$310.58	$443.70	$770.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $447.10 / $652.20	Professional		$380.00	$447.10	$652.20