Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,365.79 / $4,514.78 / $7,119.04	Facility		$2,365.79	$4,514.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $244.12 / $519.88	Professional		$127.01	$244.12	$519.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $359.74 / $692.87	Professional		$173.51	$359.74	$692.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $345.26 / $580.96	Professional		$131.63	$345.26	$580.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.04 / $372.74 / $2,650.64	Facility		$225.04	$372.74	$2,650.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.39 / $557.87 / $1,959.28	Professional		$267.39	$557.87	$1,959.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $297.68 / $366.50 / $692.87	Facility		$297.68	$366.50	$692.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $297.68 / $412.24 / $692.87	Professional		$297.68	$412.24	$692.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $272.07 / $536.29	Professional		$134.63	$272.07	$536.29
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 $260.79 / $425.25 / $737.91	Professional		$260.79	$425.25	$737.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $262.50 / $321.10 / $601.00	Professional		$262.50	$321.10	$601.00