Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $4,235.59 / $7,119.04	Facility		$2,833.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $324.07 / $683.30	Professional		$158.13	$324.07	$683.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.27 / $422.66 / $885.25	Professional		$287.27	$422.66	$885.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $425.70 / $906.65	Professional		$140.13	$425.70	$906.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.72 / $745.44 / $5,260.89	Facility		$337.72	$745.44	$5,260.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $734.45 / $3,788.13	Professional		$350.00	$734.45	$3,788.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $330.28 / $758.13 / $1,813.25	Facility		$330.28	$758.13	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.58 / $538.12 / $897.97	Professional		$288.58	$538.12	$897.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $493.50 / $885.00	Professional		$3.00	$493.50	$885.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $625.19 / $987.95	Professional		$349.01	$625.19	$987.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $291.39 / $342.80 / $693.10	Professional		$291.39	$342.80	$693.10