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 $184.07 / $335.35 / $1,048.29	Professional		$184.07	$335.35	$1,048.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.22 / $479.94 / $868.06	Professional		$218.22	$479.94	$868.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.78 / $441.36 / $803.34	Professional		$191.78	$441.36	$803.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $312.92 / $499.96 / $2,146.44	Facility		$312.92	$499.96	$2,146.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.04 / $659.41 / $2,621.12	Professional		$343.04	$659.41	$2,621.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $384.99 / $499.96 / $819.78	Facility		$384.99	$499.96	$819.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $366.90 / $541.65 / $868.06	Professional		$366.90	$541.65	$868.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $558.29 / $953.60	Professional		$5.00	$558.29	$953.60
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 $323.82 / $518.40 / $1,019.53	Professional		$323.82	$518.40	$1,019.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $397.20 / $486.00 / $806.30	Professional		$397.20	$486.00	$806.30