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 / $6,446.00	Facility		$2,218.00	$3,576.15	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.89 / $291.81 / $1,372.34	Professional		$200.89	$291.81	$1,372.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.28 / $524.84 / $670.03	Professional		$429.28	$524.84	$670.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.79 / $350.91 / $587.21	Professional		$181.79	$350.91	$587.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $359.04 / $553.54 / $2,864.20	Facility		$359.04	$553.54	$2,864.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.69 / $540.37 / $4,151.77	Professional		$290.69	$540.37	$4,151.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $443.77 / $579.82 / $813.19	Facility		$443.77	$579.82	$813.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $369.63 / $504.33 / $655.14	Professional		$369.63	$504.33	$655.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $418.10 / $619.50	Professional		$3.00	$418.10	$619.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.45 / $481.22 / $725.93	Professional		$256.45	$481.22	$725.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.30 / $436.90 / $535.50	Professional		$371.30	$436.90	$535.50