Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,972.32 / $3,666.78 / $7,119.04	Facility		$1,972.32	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $318.45 / $728.38	Professional		$163.61	$318.45	$728.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.08 / $672.48 / $881.36	Professional		$350.08	$672.48	$881.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $432.11 / $868.11	Professional		$148.28	$432.11	$868.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.28 / $602.14 / $7,131.46	Facility		$332.28	$602.14	$7,131.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $332.61 / $672.48 / $2,324.32	Professional		$332.61	$672.48	$2,324.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.95 / $426.51 / $823.22	Facility		$315.95	$426.51	$823.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.20 / $522.00 / $855.11	Professional		$331.20	$522.00	$855.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $313.11 / $581.90	Professional		$157.38	$313.11	$581.90
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 $332.61 / $540.86 / $941.53	Professional		$332.61	$540.86	$941.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $303.20 / $356.80 / $685.30	Professional		$303.20	$356.80	$685.30