Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,964.00 / $8,470.70	Facility		$3,468.00	$4,964.00	$8,470.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.78 / $344.53 / $1,018.16	Professional		$212.78	$344.53	$1,018.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.14 / $548.29 / $1,005.04	Professional		$379.14	$548.29	$1,005.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.22 / $483.79 / $803.03	Professional		$184.22	$483.79	$803.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.31 / $730.90 / $8,586.74	Facility		$446.31	$730.90	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $379.14 / $688.25 / $3,318.00	Professional		$379.14	$688.25	$3,318.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $435.88 / $730.90 / $4,383.99	Facility		$435.88	$730.90	$4,383.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $379.14 / $544.42 / $982.67	Professional		$379.14	$544.42	$982.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $518.20 / $994.60	Professional		$3.00	$518.20	$994.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.92 / $688.25 / $1,055.63	Professional		$372.92	$688.25	$1,055.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $381.80 / $449.20 / $794.30	Professional		$381.80	$449.20	$794.30