Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $419.70 / $419.70	Professional		$263.77	$419.70	$419.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.91 / $709.68 / $798.58	Professional		$625.91	$709.68	$798.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $266.61 / $497.30 / $1,052.59	Professional		$266.61	$497.30	$1,052.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $567.25 / $810.31 / $8,586.74	Facility		$567.25	$810.31	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $680.25 / $2,135.52	Professional		$375.10	$680.25	$2,135.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $509.00 / $874.94 / $3,170.91	Facility		$509.00	$874.94	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $452.85 / $625.91 / $874.94	Professional		$452.85	$625.91	$874.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $502.10 / $706.90	Professional		$3.00	$502.10	$706.90
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 $337.18 / $647.50 / $914.67	Professional		$337.18	$647.50	$914.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $551.90 / $551.90 / $649.29	Professional		$551.90	$551.90	$649.29