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 $173.17 / $285.39 / $450.25	Professional		$173.17	$285.39	$450.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $510.00 / $829.89	Professional		$333.45	$510.00	$829.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.46 / $420.80 / $759.31	Professional		$137.46	$420.80	$759.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.19 / $695.70 / $7,305.00	Facility		$367.19	$695.70	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.26 / $667.46 / $2,654.97	Professional		$337.26	$667.46	$2,654.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $343.04 / $685.76 / $3,054.91	Facility		$343.04	$685.76	$3,054.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $326.79 / $471.00 / $829.89	Professional		$326.79	$471.00	$829.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $530.00 / $820.40	Professional		$6.00	$530.00	$820.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $5,163.00 / $7,305.00	Facility		$2,679.00	$5,163.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.89 / $667.46 / $924.77	Professional		$317.89	$667.46	$924.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $325.50 / $659.00	Professional		$276.70	$325.50	$659.00