Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $218.32 / $777.86	Professional		$160.50	$218.32	$777.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.30 / $397.26 / $625.71	Professional		$309.30	$397.26	$625.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $307.60 / $490.69	Professional		$136.38	$307.60	$490.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.58 / $413.40 / $7,131.46	Facility		$259.58	$413.40	$7,131.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.82 / $451.57 / $1,672.80	Professional		$245.82	$451.57	$1,672.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $197.47 / $326.45 / $563.91	Facility		$197.47	$326.45	$563.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $285.82 / $386.84 / $610.16	Professional		$285.82	$386.84	$610.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $356.10 / $608.90	Professional		$3.00	$356.10	$608.90
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 $227.98 / $408.37 / $645.33	Professional		$227.98	$408.37	$645.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $279.89 / $329.30 / $506.60	Professional		$279.89	$329.30	$506.60