Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $3,852.77 / $6,446.00	Facility		$2,906.00	$3,852.77	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $316.31 / $628.20	Professional		$203.78	$316.31	$628.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.05 / $568.74 / $734.30	Professional		$441.05	$568.74	$734.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $185.58 / $364.89 / $727.40	Professional		$185.58	$364.89	$727.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.50 / $609.12 / $5,582.51	Facility		$387.50	$609.12	$5,582.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $347.00 / $570.66 / $1,922.80	Professional		$347.00	$570.66	$1,922.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $441.05 / $614.63 / $1,813.25	Facility		$441.05	$614.63	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $388.50 / $514.65 / $688.17	Professional		$388.50	$514.65	$688.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $460.20 / $667.00	Professional		$3.00	$460.20	$667.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,988.00 / $8,342.00	Facility		$3,711.00	$5,988.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.25 / $507.25 / $801.59	Professional		$295.25	$507.25	$801.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $449.50 / $572.60	Professional		$382.00	$449.50	$572.60