Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $312.70 / $312.70	Professional		$181.08	$312.70	$312.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.08 / $487.94 / $546.34	Professional		$437.08	$487.94	$546.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.66 / $361.10 / $850.10	Professional		$186.66	$361.10	$850.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $425.44 / $598.78 / $5,023.00	Facility		$425.44	$598.78	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.06 / $471.00 / $4,091.27	Professional		$267.06	$471.00	$4,091.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $363.01 / $604.65 / $1,552.02	Facility		$363.01	$604.65	$1,552.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $344.85 / $471.00 / $604.65	Professional		$344.85	$471.00	$604.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $398.20 / $505.60	Professional		$5.00	$398.20	$505.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.62 / $414.26 / $631.04	Professional		$232.62	$414.26	$631.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $382.00 / $449.50	Professional		$382.00	$382.00	$449.50