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 $160.61 / $228.69 / $434.51	Professional		$160.61	$228.69	$434.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $406.60 / $510.00	Professional		$344.25	$406.60	$510.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $276.51 / $464.25	Professional		$144.86	$276.51	$464.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $293.56 / $440.37 / $5,244.00	Facility		$293.56	$440.37	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $359.42 / $1,760.09	Professional		$190.70	$359.42	$1,760.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $469.54 / $1,476.40	Facility		$279.00	$469.54	$1,476.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $344.25 / $469.54	Professional		$256.00	$344.25	$469.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $291.20 / $391.60	Professional		$6.00	$291.20	$391.60
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 $170.80 / $305.95 / $483.48	Professional		$170.80	$305.95	$483.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $291.50 / $291.50 / $342.90	Professional		$291.50	$291.50	$342.90