Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.60 / $2,912.34 / $6,446.00	Facility		$1,748.60	$2,912.34	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $174.75 / $719.78	Professional		$144.55	$174.75	$719.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.95 / $385.94 / $707.38	Professional		$320.95	$385.94	$707.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.69 / $363.99 / $1,084.70	Professional		$186.69	$363.99	$1,084.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.21 / $658.94 / $3,522.00	Facility		$190.21	$658.94	$3,522.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $335.29 / $1,992.01	Professional		$166.26	$335.29	$1,992.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $453.65 / $817.55	Facility		$250.00	$453.65	$817.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $222.77 / $320.95 / $707.38	Professional		$222.77	$320.95	$707.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $372.30	Professional		$3.00	$3.00	$372.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,611.00 / $3,902.18 / $5,454.00	Facility		$1,611.00	$3,902.18	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.33 / $303.62 / $451.02	Professional		$159.33	$303.62	$451.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $496.20 / $496.20 / $583.70	Professional		$496.20	$496.20	$583.70