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 $183.87 / $231.56 / $327.62	Professional		$183.87	$231.56	$327.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $427.54 / $573.61	Professional		$318.51	$427.54	$573.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $281.43 / $549.58	Professional		$130.37	$281.43	$549.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.51 / $483.00 / $5,582.51	Facility		$318.51	$483.00	$5,582.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.59 / $446.44 / $1,931.70	Professional		$252.59	$446.44	$1,931.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $318.51 / $483.00 / $1,813.25	Facility		$318.51	$483.00	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $373.51 / $532.03	Professional		$280.08	$373.51	$532.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $332.30 / $517.20	Professional		$3.00	$332.30	$517.20
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 $212.15 / $390.48 / $600.54	Professional		$212.15	$390.48	$600.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $316.70 / $445.00	Professional		$269.20	$316.70	$445.00