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 $347.56 / $413.03 / $1,248.00	Professional		$347.56	$413.03	$1,248.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.62 / $834.38 / $955.37	Professional		$699.62	$834.38	$955.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $310.39 / $489.49 / $828.43	Professional		$310.39	$489.49	$828.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $422.07 / $855.90 / $8,342.00	Facility		$422.07	$855.90	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $375.43 / $757.12 / $3,629.13	Professional		$375.43	$757.12	$3,629.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $952.27 / $3,093.19	Facility		$538.00	$952.27	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $488.04 / $728.08 / $952.27	Professional		$488.04	$728.08	$952.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $567.40 / $879.20	Professional		$6.00	$567.40	$879.20
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 $359.79 / $719.58 / $1,018.45	Professional		$359.79	$719.58	$1,018.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $646.20 / $646.20 / $760.20	Professional		$646.20	$646.20	$760.20