Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.02 / $403.25 / $414.91	Professional		$302.02	$403.25	$414.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.72 / $680.12 / $765.47	Professional		$599.72	$680.12	$765.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.57 / $473.41 / $777.88	Professional		$255.57	$473.41	$777.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $536.87 / $777.19 / $12,371.41	Facility		$536.87	$777.19	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.81 / $654.21 / $2,046.48	Professional		$359.81	$654.21	$2,046.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $839.49 / $4,818.76	Facility		$491.00	$839.49	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $435.21 / $599.72 / $839.49	Professional		$435.21	$599.72	$839.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $479.20 / $678.10	Professional		$3.00	$479.20	$678.10
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 $324.19 / $573.39 / $879.45	Professional		$324.19	$573.39	$879.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $528.79 / $528.79 / $622.10	Professional		$528.79	$528.79	$622.10