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 $141.32 / $172.19 / $308.20	Professional		$141.32	$172.19	$308.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.44 / $337.35 / $421.69	Professional		$172.44	$337.35	$421.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.65 / $221.03 / $837.74	Professional		$148.65	$221.03	$837.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.11 / $373.26 / $5,023.00	Facility		$200.11	$373.26	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $340.28 / $1,123.35	Professional		$176.26	$340.28	$1,123.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $279.83 / $471.37 / $2,126.83	Facility		$279.83	$471.37	$2,126.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $330.41 / $471.37	Professional		$267.83	$330.41	$471.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $382.20	Professional		$4.00	$4.00	$382.20
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 $158.82 / $255.62 / $484.94	Professional		$158.82	$255.62	$484.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $230.21 / $291.39 / $342.80	Professional		$230.21	$291.39	$342.80