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 $294.05 / $388.23 / $388.23	Professional		$294.05	$388.23	$388.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.67 / $789.64 / $889.15	Professional		$684.67	$789.64	$889.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $485.54 / $793.70	Professional		$295.08	$485.54	$793.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $413.06 / $855.90 / $7,350.19	Facility		$413.06	$855.90	$7,350.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.11 / $733.50 / $2,379.44	Professional		$371.11	$733.50	$2,379.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $527.00 / $933.35 / $2,256.42	Facility		$527.00	$933.35	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $472.29 / $701.60 / $933.35	Professional		$472.29	$701.60	$933.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $558.50 / $815.00	Professional		$3.00	$558.50	$815.00
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 $348.57 / $624.39 / $986.68	Professional		$348.57	$624.39	$986.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $607.70 / $607.70 / $715.00	Professional		$607.70	$607.70	$715.00