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 $114.20 / $215.02 / $395.69	Professional		$114.20	$215.02	$395.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.73 / $537.90 / $775.20	Professional		$262.73	$537.90	$775.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $347.57 / $596.30	Professional		$110.25	$347.57	$596.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $573.46 / $4,699.47	Facility		$280.00	$573.46	$4,699.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.73 / $582.98 / $2,006.48	Professional		$276.73	$582.98	$2,006.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $272.95 / $602.45 / $1,476.40	Facility		$272.95	$602.45	$1,476.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $262.73 / $399.35 / $729.00	Professional		$262.73	$399.35	$729.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $427.20 / $723.90	Professional		$6.00	$427.20	$723.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.26 / $4,293.35 / $7,305.00	Facility		$2,264.26	$4,293.35	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.14 / $518.23 / $818.94	Professional		$264.14	$518.23	$818.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.50 / $261.70 / $580.70	Professional		$222.50	$261.70	$580.70