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 $123.11 / $182.27 / $268.51	Professional		$123.11	$182.27	$268.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.91 / $320.39 / $474.28	Professional		$250.91	$320.39	$474.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $229.50 / $432.58	Professional		$102.73	$229.50	$432.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.34 / $390.98 / $7,407.10	Facility		$218.34	$390.98	$7,407.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.01 / $360.99 / $1,580.98	Professional		$205.01	$360.99	$1,580.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.91 / $390.98 / $3,170.91	Facility		$250.91	$390.98	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $216.95 / $299.00 / $435.96	Professional		$216.95	$299.00	$435.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $268.60 / $430.50	Professional		$3.00	$268.60	$430.50
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 $171.55 / $310.42 / $485.59	Professional		$171.55	$310.42	$485.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $251.40 / $365.70	Professional		$213.70	$251.40	$365.70