Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.07 / $156.78 / $192.86	Professional		$147.07	$156.78	$192.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.79 / $319.05 / $428.76	Professional		$250.79	$319.05	$428.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.95 / $214.03 / $519.27	Professional		$116.95	$214.03	$519.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.14 / $319.05 / $7,155.00	Facility		$188.14	$319.05	$7,155.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.90 / $330.52 / $1,195.88	Professional		$163.90	$330.52	$1,195.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $237.77 / $372.79 / $3,093.19	Facility		$237.77	$372.79	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $306.12 / $412.56	Professional		$210.75	$306.12	$412.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $228.70 / $419.30	Professional		$3.00	$228.70	$419.30
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 $150.18 / $281.35 / $444.61	Professional		$150.18	$281.35	$444.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $287.00 / $350.80	Professional		$244.00	$287.00	$350.80