Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.72 / $346.44 / $346.44	Professional		$217.72	$346.44	$346.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.46 / $585.33 / $660.29	Professional		$517.46	$585.33	$660.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.19 / $405.27 / $666.46	Professional		$220.19	$405.27	$666.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.82 / $658.04 / $8,586.74	Facility		$419.82	$658.04	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.47 / $561.59 / $1,761.36	Professional		$309.47	$561.59	$1,761.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $422.00 / $723.74 / $3,170.91	Facility		$422.00	$723.74	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $373.46 / $517.46 / $723.74	Professional		$373.46	$517.46	$723.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $417.70 / $585.20	Professional		$3.00	$417.70	$585.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $493.32 / $754.81	Professional		$266.64	$493.32	$754.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $456.30 / $456.30 / $536.79	Professional		$456.30	$456.30	$536.79