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 $202.60 / $276.29 / $370.61	Professional		$202.60	$276.29	$370.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.04 / $520.44 / $650.54	Professional		$417.04	$520.44	$650.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.72 / $335.47 / $627.26	Professional		$175.72	$335.47	$627.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.55 / $530.87 / $5,582.51	Facility		$331.55	$530.87	$5,582.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.98 / $529.08 / $2,163.06	Professional		$290.98	$529.08	$2,163.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $417.04 / $576.16 / $1,813.25	Facility		$417.04	$576.16	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $364.43 / $501.80 / $613.71	Professional		$364.43	$501.80	$613.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $421.80 / $587.20	Professional		$3.00	$421.80	$587.20
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 $246.81 / $343.39 / $698.65	Professional		$246.81	$343.39	$698.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $367.70 / $432.60 / $524.00	Professional		$367.70	$432.60	$524.00