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 $137.54 / $286.07 / $528.98	Professional		$137.54	$286.07	$528.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.83 / $514.14 / $843.32	Professional		$283.83	$514.14	$843.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.22 / $386.61 / $608.69	Professional		$117.22	$386.61	$608.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $283.83 / $668.16 / $4,510.68	Facility		$283.83	$668.16	$4,510.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.83 / $666.53 / $2,255.28	Professional		$283.83	$666.53	$2,255.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $284.94 / $686.15 / $1,300.32	Facility		$284.94	$686.15	$1,300.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.58 / $452.66 / $815.71	Professional		$283.58	$452.66	$815.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $603.79 / $842.60	Professional		$5.00	$603.79	$842.60
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 $314.72 / $666.53 / $931.37	Professional		$314.72	$666.53	$931.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $240.30 / $282.80 / $646.00	Professional		$240.30	$282.80	$646.00