Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $235.53 / $358.84	Professional		$150.68	$235.53	$358.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.94 / $472.90 / $673.92	Professional		$292.94	$472.90	$673.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $296.43 / $416.96	Professional		$167.87	$296.43	$416.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.24 / $432.90 / $6,558.00	Facility		$259.24	$432.90	$6,558.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.20 / $430.17 / $1,438.74	Professional		$221.20	$430.17	$1,438.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $362.23 / $484.72 / $2,932.27	Facility		$362.23	$484.72	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $315.93 / $422.56 / $586.49	Professional		$315.93	$422.56	$586.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.32 / $307.52 / $3,254.15	Professional		$169.32	$307.52	$3,254.15
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.14 / $321.74 / $599.25	Professional		$211.14	$321.74	$599.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.90 / $388.10 / $534.50	Professional		$329.90	$388.10	$534.50