Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,911.00 / $9,185.68	Facility		$4,146.00	$4,911.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.09 / $344.39 / $352.39	Professional		$220.09	$344.39	$352.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.18 / $575.24 / $646.14	Professional		$500.18	$575.24	$646.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.98 / $387.96 / $705.67	Professional		$222.98	$387.96	$705.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $568.24 / $5,847.00	Facility		$415.00	$568.24	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $286.16 / $542.17 / $2,473.00	Professional		$286.16	$542.17	$2,473.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $359.14 / $532.89 / $689.97	Facility		$359.14	$532.89	$689.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $517.53 / $689.97	Professional		$380.00	$517.53	$689.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $394.10 / $592.60	Professional		$6.00	$394.10	$592.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $466.01 / $729.32	Professional		$257.64	$466.01	$729.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $456.40 / $456.40 / $537.00	Professional		$456.40	$456.40	$537.00