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 $169.36 / $266.50 / $861.89	Professional		$169.36	$266.50	$861.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $434.09 / $694.72	Professional		$213.68	$434.09	$694.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.27 / $334.99 / $571.23	Professional		$154.27	$334.99	$571.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.14 / $429.84 / $3,044.00	Facility		$258.14	$429.84	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $560.10 / $1,868.00	Professional		$285.00	$560.10	$1,868.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $278.24 / $404.10 / $694.72	Facility		$278.24	$404.10	$694.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $332.20 / $460.07 / $708.98	Professional		$332.20	$460.07	$708.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $530.00 / $692.10	Professional		$5.00	$530.00	$692.10
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 $275.00 / $404.21 / $822.39	Professional		$275.00	$404.21	$822.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $313.80 / $383.78 / $571.50	Professional		$313.80	$383.78	$571.50