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 $158.25 / $266.24 / $827.80	Professional		$158.25	$266.24	$827.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.04 / $419.16 / $635.94	Professional		$318.04	$419.16	$635.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.37 / $310.79 / $655.28	Professional		$134.37	$310.79	$655.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $330.36 / $519.49 / $4,898.00	Facility		$330.36	$519.49	$4,898.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.75 / $485.91 / $1,672.81	Professional		$283.75	$485.91	$1,672.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $336.02 / $482.54 / $643.35	Facility		$336.02	$482.54	$643.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $290.02 / $436.23 / $589.69	Professional		$290.02	$436.23	$589.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.40 / $262.95 / $615.55	Professional		$142.40	$262.95	$615.55
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 $251.40 / $475.57 / $681.99	Professional		$251.40	$475.57	$681.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.50 / $324.10 / $491.70	Professional		$275.50	$324.10	$491.70