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 $241.97 / $385.45 / $604.60	Professional		$241.97	$385.45	$604.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.32 / $649.02 / $726.51	Professional		$571.32	$649.02	$726.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $244.39 / $429.64 / $808.91	Professional		$244.39	$429.64	$808.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.44 / $697.77 / $8,586.74	Facility		$407.44	$697.77	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $642.35 / $1,952.56	Professional		$333.96	$642.35	$1,952.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $476.00 / $804.02 / $3,170.91	Facility		$476.00	$804.02	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.89 / $571.32 / $804.02	Professional		$416.89	$571.32	$804.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $453.40 / $646.60	Professional		$3.00	$453.40	$646.60
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 $311.14 / $534.12 / $844.03	Professional		$311.14	$534.12	$844.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $503.80 / $503.80 / $592.70	Professional		$503.80	$503.80	$592.70