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 $265.69 / $350.89 / $1,269.00	Professional		$265.69	$350.89	$1,269.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.64 / $713.24 / $802.47	Professional		$634.64	$713.24	$802.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $464.87 / $763.51	Professional		$267.00	$464.87	$763.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.32 / $767.53 / $8,165.52	Facility		$508.32	$767.53	$8,165.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.40 / $662.06 / $2,149.12	Professional		$335.40	$662.06	$2,149.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $839.66 / $3,093.19	Facility		$474.00	$839.66	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $423.99 / $634.64 / $839.66	Professional		$423.99	$634.64	$839.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $499.90 / $736.40	Professional		$4.00	$499.90	$736.40
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 $314.62 / $563.57 / $890.58	Professional		$314.62	$563.57	$890.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.70 / $549.70 / $646.79	Professional		$549.70	$549.70	$646.79