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 $238.16 / $364.25 / $1,404.21	Professional		$238.16	$364.25	$1,404.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.22 / $593.15 / $727.80	Professional		$304.22	$593.15	$727.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $252.58 / $426.94 / $842.26	Professional		$252.58	$426.94	$842.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $366.68 / $580.12 / $1,966.00	Facility		$366.68	$580.12	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.33 / $593.15 / $1,946.16	Professional		$301.33	$593.15	$1,946.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $443.00 / $593.15 / $847.82	Facility		$443.00	$593.15	$847.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $593.15 / $800.35	Professional		$405.00	$593.15	$800.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $322.30 / $456.90 / $676.90	Professional		$322.30	$456.90	$676.90
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 $283.83 / $471.69 / $840.00	Professional		$283.83	$471.69	$840.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $413.17 / $523.00 / $615.29	Professional		$413.17	$523.00	$615.29