Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,758.06 / $8,831.95	Facility		$2,218.00	$3,758.06	$8,831.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.99 / $247.50 / $802.00	Professional		$187.99	$247.50	$802.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.07 / $499.77 / $571.66	Professional		$407.07	$499.77	$571.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.05 / $284.77 / $480.76	Professional		$186.05	$284.77	$480.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.40 / $521.87 / $8,342.00	Facility		$335.40	$521.87	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.93 / $453.60 / $1,514.32	Professional		$224.93	$453.60	$1,514.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $567.80 / $3,093.19	Facility		$316.00	$567.80	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $434.14 / $567.80	Professional		$289.00	$434.14	$567.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $340.00 / $525.10	Professional		$3.00	$340.00	$525.10
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 $215.56 / $302.39 / $610.16	Professional		$215.56	$302.39	$610.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $387.10 / $387.10 / $455.40	Professional		$387.10	$387.10	$455.40