Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.97 / $323.60 / $528.41	Professional		$309.97	$323.60	$528.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.81 / $593.09 / $963.16	Professional		$407.81	$593.09	$963.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $192.21 / $427.53 / $610.15	Professional		$192.21	$427.53	$610.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.16 / $669.80 / $6,267.00	Facility		$342.16	$669.80	$6,267.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.21 / $671.62 / $2,481.12	Professional		$360.21	$671.62	$2,481.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $722.15 / $2,256.42	Facility		$407.81	$722.15	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $397.72 / $543.46 / $840.25	Professional		$397.72	$543.46	$840.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $537.79 / $923.80	Professional		$5.00	$537.79	$923.80
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 $320.95 / $648.78 / $995.08	Professional		$320.95	$648.78	$995.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $404.70 / $476.20 / $751.30	Professional		$404.70	$476.20	$751.30