Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.27 / $332.26 / $511.52	Professional		$279.27	$332.26	$511.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.16 / $640.74 / $864.80	Professional		$313.16	$640.74	$864.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $196.20 / $348.87 / $854.77	Professional		$196.20	$348.87	$854.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $359.04 / $687.51 / $3,804.17	Facility		$359.04	$687.51	$3,804.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.42 / $604.98 / $2,251.36	Professional		$343.42	$604.98	$2,251.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $746.37 / $1,300.32	Facility		$497.00	$746.37	$1,300.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $598.58 / $777.16	Professional		$426.00	$598.58	$777.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $350.40 / $522.29	Professional		$5.00	$350.40	$522.29
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 $314.80 / $486.51 / $931.60	Professional		$314.80	$486.51	$931.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,170.23 / $1,481.30 / $1,481.30	Professional		$1,170.23	$1,481.30	$1,481.30