Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $249.66 / $884.00	Professional		$173.40	$249.66	$884.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.42 / $500.57 / $651.52	Professional		$333.42	$500.57	$651.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $316.70 / $539.95	Professional		$159.63	$316.70	$539.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $554.25 / $4,984.96	Facility		$313.70	$554.25	$4,984.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.52 / $484.98 / $2,321.00	Professional		$267.52	$484.98	$2,321.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $332.46 / $525.74 / $1,844.64	Facility		$332.46	$525.74	$1,844.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $332.46 / $444.29 / $596.90	Professional		$332.46	$444.29	$596.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $403.30 / $578.00	Professional		$3.00	$403.30	$578.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.35 / $482.28 / $680.36	Professional		$240.35	$482.28	$680.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $332.20 / $390.90 / $502.90	Professional		$332.20	$390.90	$502.90