Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $289.52 / $289.52	Professional		$182.45	$289.52	$289.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.82 / $511.59 / $593.75	Professional		$416.82	$511.59	$593.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.14 / $247.75 / $711.61	Professional		$173.14	$247.75	$711.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $272.04 / $517.63 / $17,234.55	Facility		$272.04	$517.63	$17,234.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.66 / $464.23 / $1,408.56	Professional		$262.66	$464.23	$1,408.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $310.04 / $416.89 / $606.16	Facility		$310.04	$416.89	$606.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $310.04 / $421.95 / $598.58	Professional		$310.04	$421.95	$598.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $432.20 / $482.80	Professional		$6.00	$432.20	$482.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.20 / $452.41 / $624.46	Professional		$230.20	$452.41	$624.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $340.80 / $340.80 / $400.90	Professional		$340.80	$340.80	$400.90