Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.67 / $463.51 / $492.08	Professional		$308.67	$463.51	$492.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.29 / $739.91 / $840.45	Professional		$654.29	$739.91	$840.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $276.49 / $472.59 / $819.53	Professional		$276.49	$472.59	$819.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $492.08 / $831.62 / $8,586.74	Facility		$492.08	$831.62	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $383.19 / $701.41 / $2,227.44	Professional		$383.19	$701.41	$2,227.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $910.38 / $3,170.91	Facility		$523.00	$910.38	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $479.00 / $654.29 / $910.38	Professional		$479.00	$654.29	$910.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $518.90 / $742.80	Professional		$4.00	$518.90	$742.80
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 $333.32 / $597.07 / $943.52	Professional		$333.32	$597.07	$943.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $566.79 / $566.79 / $666.80	Professional		$566.79	$566.79	$666.80