Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,365.79 / $3,489.13 / $6,446.00	Facility		$2,365.79	$3,489.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.61 / $362.49 / $764.92	Professional		$239.61	$362.49	$764.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.21 / $627.41 / $688.53	Professional		$542.21	$627.41	$688.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.02 / $437.04 / $744.87	Professional		$229.02	$437.04	$744.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $469.13 / $702.66 / $8,972.49	Facility		$469.13	$702.66	$8,972.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $305.17 / $572.54 / $2,788.71	Professional		$305.17	$572.54	$2,788.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $447.00 / $746.96 / $3,054.91	Facility		$447.00	$746.96	$3,054.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $542.21 / $746.96	Professional		$409.00	$542.21	$746.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $476.50 / $618.70	Professional		$6.00	$476.50	$618.70
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 $272.08 / $487.38 / $770.17	Professional		$272.08	$487.38	$770.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $459.10 / $459.10 / $540.10	Professional		$459.10	$459.10	$540.10