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 $178.74 / $284.50 / $284.50	Professional		$178.74	$284.50	$284.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.49 / $503.52 / $542.45	Professional		$426.49	$503.52	$542.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.82 / $335.25 / $558.14	Professional		$179.82	$335.25	$558.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.54 / $549.40 / $8,972.49	Facility		$358.54	$549.40	$8,972.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.57 / $447.65 / $3,317.06	Professional		$236.57	$447.65	$3,317.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $337.00 / $584.29 / $3,054.91	Facility		$337.00	$584.29	$3,054.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $426.49 / $584.29	Professional		$308.00	$426.49	$584.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $350.80 / $484.60	Professional		$6.00	$350.80	$484.60
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 $212.73 / $381.06 / $602.16	Professional		$212.73	$381.06	$602.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.10 / $361.10 / $424.90	Professional		$361.10	$361.10	$424.90