Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.05 / $323.02 / $1,028.52	Professional		$184.05	$323.02	$1,028.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.33 / $471.86 / $753.38	Professional		$204.33	$471.86	$753.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $170.89 / $337.04 / $764.42	Professional		$170.89	$337.04	$764.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $212.20 / $480.53 / $2,146.44	Facility		$212.20	$480.53	$2,146.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.54 / $574.74 / $2,275.28	Professional		$265.54	$574.74	$2,275.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $367.79 / $480.53 / $753.38	Facility		$367.79	$480.53	$753.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $319.91 / $488.25 / $753.38	Professional		$319.91	$488.25	$753.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $487.80 / $863.40	Professional		$5.00	$487.80	$863.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.18 / $446.40 / $846.22	Professional		$281.18	$446.40	$846.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $374.10 / $457.80 / $684.80	Professional		$374.10	$457.80	$684.80