Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.25 / $3,666.78 / $7,119.04	Facility		$1,175.25	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.85 / $275.77 / $903.00	Professional		$168.85	$275.77	$903.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.78 / $454.70 / $626.02	Professional		$336.78	$454.70	$626.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $303.45 / $503.46	Professional		$158.63	$303.45	$503.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $324.23 / $454.70 / $7,155.00	Facility		$324.23	$454.70	$7,155.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.68 / $442.09 / $2,741.00	Professional		$234.68	$442.09	$2,741.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $336.78 / $522.75 / $3,093.19	Facility		$336.78	$522.75	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $427.92 / $601.05	Professional		$304.00	$427.92	$601.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $324.00 / $615.40	Professional		$3.00	$324.00	$615.40
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 $224.91 / $402.87 / $636.64	Professional		$224.91	$402.87	$636.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.70 / $387.90 / $510.30	Professional		$329.70	$387.90	$510.30