Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.77 / $450.24 / $450.24	Professional		$284.77	$450.24	$450.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.25 / $754.64 / $877.46	Professional		$606.25	$754.64	$877.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $241.14 / $423.75 / $719.08	Professional		$241.14	$423.75	$719.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $450.24 / $767.00 / $4,872.50	Facility		$450.24	$767.00	$4,872.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $330.89 / $667.29 / $2,284.08	Professional		$330.89	$667.29	$2,284.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $856.35 / $1,300.32	Facility		$457.00	$856.35	$1,300.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $429.79 / $654.73 / $856.35	Professional		$429.79	$654.73	$856.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $534.60 / $803.00	Professional		$5.00	$534.60	$803.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.10 / $568.02 / $897.62	Professional		$317.10	$568.02	$897.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $567.60 / $567.60 / $667.70	Professional		$567.60	$567.60	$667.70