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 $147.41 / $172.83 / $173.93	Professional		$147.41	$172.83	$173.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.58 / $426.08 / $502.02	Professional		$339.58	$426.08	$502.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.82 / $260.73 / $396.16	Professional		$144.82	$260.73	$396.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.59 / $398.96 / $4,510.68	Facility		$211.59	$398.96	$4,510.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $399.01 / $1,394.56	Professional		$197.86	$399.01	$1,394.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $332.38 / $462.25 / $1,300.32	Facility		$332.38	$462.25	$1,300.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.76 / $382.81 / $491.62	Professional		$257.76	$382.81	$491.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $325.10 / $486.70	Professional		$5.00	$325.10	$486.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.61 / $352.70 / $536.73	Professional		$189.61	$352.70	$536.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $305.10 / $356.20 / $419.10	Professional		$305.10	$356.20	$419.10