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 $302.17 / $436.79 / $436.79	Professional		$302.17	$436.79	$436.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.79 / $656.08 / $745.99	Professional		$580.79	$656.08	$745.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.37 / $434.30 / $740.74	Professional		$245.37	$434.30	$740.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.34 / $741.31 / $8,393.34	Facility		$478.34	$741.31	$8,393.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.61 / $622.66 / $3,135.00	Professional		$342.61	$622.66	$3,135.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $470.00 / $810.29 / $3,170.91	Facility		$470.00	$810.29	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $580.79 / $810.29	Professional		$431.00	$580.79	$810.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $481.90 / $661.10	Professional		$5.00	$481.90	$661.10
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 $295.89 / $481.15 / $837.59	Professional		$295.89	$481.15	$837.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $503.10 / $503.10 / $591.90	Professional		$503.10	$503.10	$591.90