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 $129.04 / $273.13 / $554.91	Professional		$129.04	$273.13	$554.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $444.89 / $764.60	Professional		$193.09	$444.89	$764.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.81 / $322.04 / $498.09	Professional		$165.81	$322.04	$498.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.35 / $415.66 / $1,547.76	Facility		$230.35	$415.66	$1,547.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $555.38 / $2,308.96	Professional		$268.00	$555.38	$2,308.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $326.23 / $452.80 / $764.60	Facility		$326.23	$452.80	$764.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $452.80 / $764.60	Professional		$268.16	$452.80	$764.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $358.54 / $605.72	Professional		$176.10	$358.54	$605.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $3,482.00 / $5,454.00	Facility		$1,321.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.97 / $442.75 / $842.04	Professional		$263.97	$442.75	$842.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $358.70 / $438.90 / $708.90	Professional		$358.70	$438.90	$708.90