Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.79 / $245.78 / $1,152.00	Professional		$199.79	$245.78	$1,152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.45 / $491.23 / $564.85	Professional		$434.45	$491.23	$564.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $185.36 / $308.08 / $515.84	Professional		$185.36	$308.08	$515.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.16 / $517.29 / $8,342.00	Facility		$342.16	$517.29	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.76 / $455.01 / $2,635.00	Professional		$228.76	$455.01	$2,635.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $322.00 / $574.59 / $3,093.19	Facility		$322.00	$574.59	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $439.32 / $574.59	Professional		$295.00	$439.32	$574.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $341.70 / $519.29	Professional		$4.00	$341.70	$519.29
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 $216.22 / $407.66 / $612.05	Professional		$216.22	$407.66	$612.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $383.90 / $383.90 / $451.70	Professional		$383.90	$383.90	$451.70