Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.58 / $3,489.13 / $6,446.00	Facility		$1,974.58	$3,489.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $274.23 / $878.00	Professional		$148.13	$274.23	$878.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.69 / $517.13 / $774.23	Professional		$261.69	$517.13	$774.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $324.92 / $637.34	Professional		$166.26	$324.92	$637.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.23 / $473.00 / $2,969.00	Facility		$274.23	$473.00	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $473.00 / $1,352.96	Professional		$300.39	$473.00	$1,352.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $265.60 / $421.89 / $662.60	Facility		$265.60	$421.89	$662.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $361.27 / $518.09 / $724.01	Professional		$361.27	$518.09	$724.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.52 / $319.37 / $490.59	Professional		$168.52	$319.37	$490.59
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 $280.42 / $382.40 / $712.99	Professional		$280.42	$382.40	$712.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $324.89 / $382.20 / $561.50	Professional		$324.89	$382.20	$561.50