Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,926.32 / $2,912.34 / $6,446.00	Facility		$1,926.32	$2,912.34	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $227.78 / $291.77	Professional		$161.19	$227.78	$291.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.89 / $415.57 / $513.23	Professional		$339.89	$415.57	$513.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $252.91 / $664.54	Professional		$142.96	$252.91	$664.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $418.77 / $1,970.00	Facility		$235.00	$418.77	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.57 / $421.67 / $1,153.68	Professional		$235.57	$421.67	$1,153.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $328.42 / $447.94 / $635.45	Facility		$328.42	$447.94	$635.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $299.07 / $382.99 / $488.80	Professional		$299.07	$382.99	$488.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $351.20 / $469.90	Professional		$6.00	$351.20	$469.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $371.89 / $570.39	Professional		$201.50	$371.89	$570.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $287.80 / $336.50 / $395.90	Professional		$287.80	$336.50	$395.90