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 $204.75 / $312.83 / $1,207.05	Professional		$204.75	$312.83	$1,207.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $509.67 / $625.71	Professional		$261.64	$509.67	$625.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $367.25 / $782.49	Professional		$217.25	$367.25	$782.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $315.30 / $510.19 / $1,966.00	Facility		$315.30	$510.19	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.51 / $510.19 / $1,675.20	Professional		$263.51	$510.19	$1,675.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $349.90 / $510.19 / $728.94	Facility		$349.90	$510.19	$728.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $510.19 / $688.27	Professional		$348.00	$510.19	$688.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.50 / $425.60 / $582.00	Professional		$268.50	$425.60	$582.00
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 $244.02 / $365.31 / $722.16	Professional		$244.02	$365.31	$722.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.42 / $449.90 / $529.29	Professional		$355.42	$449.90	$529.29