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 $211.41 / $323.79 / $1,245.84	Professional		$211.41	$323.79	$1,245.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.80 / $527.65 / $646.14	Professional		$270.80	$527.65	$646.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $224.67 / $379.45 / $808.90	Professional		$224.67	$379.45	$808.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $325.42 / $537.91 / $1,966.00	Facility		$325.42	$537.91	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.77 / $527.65 / $4,334.00	Professional		$274.77	$527.65	$4,334.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $366.69 / $539.46 / $750.85	Facility		$366.69	$539.46	$750.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $366.69 / $527.65 / $710.05	Professional		$366.69	$527.65	$710.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $237.20 / $421.50 / $490.20	Professional		$237.20	$421.50	$490.20
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 $252.36 / $415.67 / $745.40	Professional		$252.36	$415.67	$745.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $367.59 / $465.30 / $547.40	Professional		$367.59	$465.30	$547.40