Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $288.07 / $421.66	Professional		$194.32	$288.07	$421.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.62 / $469.02 / $593.75	Professional		$239.62	$469.02	$593.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $313.14 / $743.58	Professional		$194.34	$313.14	$743.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $463.43 / $1,713.25	Facility		$300.00	$463.43	$1,713.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.48 / $458.71 / $1,798.05	Professional		$247.48	$458.71	$1,798.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $334.68 / $458.71 / $646.55	Facility		$334.68	$458.71	$646.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $458.51 / $646.55	Professional		$330.00	$458.51	$646.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $401.00 / $526.90	Professional		$6.00	$401.00	$526.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.85 / $340.55 / $671.34	Professional		$226.85	$340.55	$671.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $319.39 / $404.30 / $475.60	Professional		$319.39	$404.30	$475.60