Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,977.00 / $4,778.89 / $7,455.92	Facility		$2,977.00	$4,778.89	$7,455.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $227.15 / $375.59	Professional		$130.88	$227.15	$375.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.44 / $362.70 / $578.02	Professional		$170.44	$362.70	$578.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $282.76 / $487.84	Professional		$132.40	$282.76	$487.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.06 / $354.57 / $3,044.00	Facility		$213.06	$354.57	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.50 / $468.72 / $1,619.04	Professional		$235.50	$468.72	$1,619.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.68 / $348.90 / $578.02	Facility		$250.68	$348.90	$578.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $365.89 / $578.02	Professional		$276.00	$365.89	$578.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $421.60 / $582.10	Professional		$5.00	$421.60	$582.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,163.00 / $8,837.89	Facility		$3,044.00	$5,163.00	$8,837.89
United Facility/Professional Professional Modifier Low / Median / High Price $223.96 / $376.97 / $646.98	Professional		$223.96	$376.97	$646.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.10 / $321.89 / $490.80	Professional		$263.10	$321.89	$490.80