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 $166.53 / $277.19 / $284.66	Professional		$166.53	$277.19	$284.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.66 / $406.78 / $505.44	Professional		$363.66	$406.78	$505.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.34 / $270.14 / $842.26	Professional		$168.34	$270.14	$842.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $284.66 / $473.19 / $7,123.00	Facility		$284.66	$473.19	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.37 / $374.36 / $3,532.88	Professional		$186.37	$374.36	$3,532.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $372.75 / $500.25 / $2,961.89	Facility		$372.75	$500.25	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.52 / $375.02 / $548.53	Professional		$283.52	$375.02	$548.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $302.95 / $3,259.56	Professional		$165.47	$302.95	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.16 / $263.02 / $527.54	Professional		$170.16	$263.02	$527.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $267.64 / $338.80 / $398.60	Professional		$267.64	$338.80	$398.60