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 $204.03 / $307.89 / $488.59	Professional		$204.03	$307.89	$488.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.70 / $515.38 / $596.01	Professional		$452.70	$515.38	$596.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.78 / $315.26 / $510.86	Professional		$184.78	$315.26	$510.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.89 / $565.66 / $7,892.27	Facility		$307.89	$565.66	$7,892.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.57 / $463.96 / $1,880.00	Professional		$236.57	$463.96	$1,880.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $603.32 / $2,571.84	Facility		$339.00	$603.32	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $292.22 / $452.70 / $603.32	Professional		$292.22	$452.70	$603.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $391.00 / $556.60	Professional		$5.00	$391.00	$556.60
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 $226.41 / $463.96 / $624.11	Professional		$226.41	$463.96	$624.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $383.30 / $383.30 / $451.00	Professional		$383.30	$383.30	$451.00