Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.07 / $201.81 / $318.82	Professional		$189.07	$201.81	$318.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.12 / $474.32 / $621.33	Professional		$283.12	$474.32	$621.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $302.18 / $524.16	Professional		$118.92	$302.18	$524.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.01 / $474.32 / $7,773.41	Facility		$287.01	$474.32	$7,773.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.88 / $471.62 / $1,991.24	Professional		$256.88	$471.62	$1,991.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $474.32 / $3,054.91	Facility		$295.70	$474.32	$3,054.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $393.16 / $586.08	Professional		$264.95	$393.16	$586.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $393.70 / $571.79	Professional		$6.00	$393.70	$571.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $460.70 / $645.01	Professional		$227.86	$460.70	$645.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.70 / $282.00 / $469.80	Professional		$239.70	$282.00	$469.80