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 $183.52 / $315.47 / $532.59	Professional		$183.52	$315.47	$532.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.46 / $639.84 / $870.04	Professional		$398.46	$639.84	$870.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.99 / $433.95 / $712.35	Professional		$222.99	$433.95	$712.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $321.16 / $606.92 / $5,567.24	Facility		$321.16	$606.92	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $330.52 / $609.95 / $2,101.77	Professional		$330.52	$609.95	$2,101.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $406.99 / $656.05 / $2,932.27	Facility		$406.99	$656.05	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $402.91 / $559.73 / $870.04	Professional		$402.91	$559.73	$870.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $228.19 / $420.71 / $3,254.15	Professional		$228.19	$420.71	$3,254.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,180.89 / $6,006.07 / $8,514.60	Facility		$4,180.89	$6,006.07	$8,514.60
United Facility/Professional Professional Modifier Low / Median / High Price $307.88 / $489.32 / $882.35	Professional		$307.88	$489.32	$882.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $442.20 / $520.20 / $811.60	Professional		$442.20	$520.20	$811.60