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 $127.35 / $240.72 / $701.13	Professional		$127.35	$240.72	$701.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.10 / $371.05 / $816.67	Professional		$209.10	$371.05	$816.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $389.70 / $790.83	Professional		$121.76	$389.70	$790.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.61 / $600.87 / $3,825.00	Facility		$221.61	$600.87	$3,825.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.38 / $652.87 / $1,717.87	Professional		$313.38	$652.87	$1,717.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $309.98 / $655.74 / $1,555.47	Facility		$309.98	$655.74	$1,555.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.20 / $547.20 / $825.10	Professional		$288.20	$547.20	$825.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $831.20	Professional		$5.00	$5.00	$831.20
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 $306.01 / $475.05 / $878.21	Professional		$306.01	$475.05	$878.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $310.89 / $680.30	Professional		$254.10	$310.89	$680.30