Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $253.35 / $413.08	Professional		$212.75	$253.35	$413.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.87 / $541.61 / $745.05	Professional		$317.87	$541.61	$745.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $325.20 / $513.82	Professional		$131.35	$325.20	$513.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $280.24 / $636.14 / $8,847.00	Facility		$280.24	$636.14	$8,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.24 / $553.92 / $2,056.57	Professional		$309.24	$553.92	$2,056.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $313.67 / $653.95 / $2,865.45	Facility		$313.67	$653.95	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $294.88 / $455.43 / $741.02	Professional		$294.88	$455.43	$741.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.30 / $612.70 / $741.10	Professional		$315.30	$612.70	$741.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.35 / $563.97 / $875.35	Professional		$282.35	$563.97	$875.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $255.50 / $300.60 / $562.90	Professional		$255.50	$300.60	$562.90