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 $157.24 / $249.14 / $249.14	Professional		$157.24	$249.14	$249.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.45 / $443.16 / $510.00	Professional		$362.45	$443.16	$510.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $276.50 / $606.04	Professional		$155.47	$276.50	$606.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $314.02 / $494.00 / $5,244.00	Facility		$314.02	$494.00	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.45 / $415.78 / $1,553.70	Professional		$221.45	$415.78	$1,553.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $309.00 / $533.91 / $1,476.40	Facility		$309.00	$533.91	$1,476.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $363.80 / $533.91	Professional		$283.00	$363.80	$533.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $340.00 / $431.80	Professional		$6.00	$340.00	$431.80
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 $197.58 / $364.65 / $559.29	Professional		$197.58	$364.65	$559.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $306.89 / $306.89 / $361.10	Professional		$306.89	$306.89	$361.10