Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.84 / $156.10 / $644.00	Professional		$134.84	$156.10	$644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.30 / $319.24 / $358.39	Professional		$285.30	$319.24	$358.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.69 / $210.68 / $375.53	Professional		$120.69	$210.68	$375.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.84 / $347.08 / $8,342.00	Facility		$195.84	$347.08	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $305.48 / $1,068.90	Professional		$162.32	$305.48	$1,068.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $398.40 / $3,093.19	Facility		$231.00	$398.40	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $285.30 / $398.40	Professional		$209.00	$285.30	$398.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $237.30 / $327.30	Professional		$3.00	$237.30	$327.30
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 $150.60 / $260.02 / $410.92	Professional		$150.60	$260.02	$410.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $247.10 / $247.10 / $290.70	Professional		$247.10	$247.10	$290.70