Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $10,506.16	Facility		$4,277.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.81 / $330.94 / $1,027.00	Professional		$210.81	$330.94	$1,027.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.04 / $553.88 / $678.79	Professional		$457.04	$553.88	$678.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $203.09 / $359.68 / $603.53	Professional		$203.09	$359.68	$603.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.00 / $583.92 / $7,155.00	Facility		$364.00	$583.92	$7,155.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.19 / $530.85 / $2,500.00	Professional		$274.19	$530.85	$2,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $449.10 / $603.52 / $3,093.19	Facility		$449.10	$603.52	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.72 / $509.16 / $678.56	Professional		$371.72	$509.16	$678.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $428.00 / $650.29	Professional		$4.00	$428.00	$650.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,988.00 / $8,342.00	Facility		$3,711.00	$5,988.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.26 / $437.08 / $714.08	Professional		$252.26	$437.08	$714.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $422.40 / $473.50 / $557.00	Professional		$422.40	$473.50	$557.00