Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,964.00 / $8,042.03	Facility		$3,468.00	$4,964.00	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.38 / $258.45 / $532.53	Professional		$209.38	$258.45	$532.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $575.28 / $753.02	Professional		$413.00	$575.28	$753.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.96 / $372.39 / $581.86	Professional		$194.96	$372.39	$581.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $351.16 / $575.28 / $4,984.96	Facility		$351.16	$575.28	$4,984.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.61 / $561.37 / $2,065.76	Professional		$301.61	$561.37	$2,065.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $413.00 / $645.05 / $1,844.64	Facility		$413.00	$645.05	$1,844.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $379.00 / $525.70 / $723.53	Professional		$379.00	$525.70	$723.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $408.70 / $736.10	Professional		$3.00	$408.70	$736.10
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 $265.72 / $492.94 / $778.96	Professional		$265.72	$492.94	$778.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $404.70 / $476.20 / $615.60	Professional		$404.70	$476.20	$615.60