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 $237.47 / $255.48 / $313.20	Professional		$237.47	$255.48	$313.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.43 / $574.20 / $717.75	Professional		$461.43	$574.20	$717.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $195.78 / $380.54 / $652.64	Professional		$195.78	$380.54	$652.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $324.50 / $552.57 / $1,371.00	Facility		$324.50	$552.57	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $568.07 / $3,100.00	Professional		$315.89	$568.07	$3,100.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $274.58 / $490.36 / $654.78	Facility		$274.58	$490.36	$654.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $400.24 / $560.97 / $697.77	Professional		$400.24	$560.97	$697.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $432.70 / $661.70	Professional		$6.00	$432.70	$661.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,623.00 / $3,560.25	Facility		$1,151.00	$1,623.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $278.64 / $527.67 / $788.76	Professional		$278.64	$527.67	$788.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $399.70 / $470.20 / $573.29	Professional		$399.70	$470.20	$573.29