Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,795.64 / $7,119.04	Facility		$2,218.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.02 / $397.47 / $522.50	Professional		$301.02	$397.47	$522.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.01 / $753.39 / $941.74	Professional		$608.01	$753.39	$941.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $310.06 / $516.78 / $1,140.92	Professional		$310.06	$516.78	$1,140.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $466.88 / $813.03 / $5,301.00	Facility		$466.88	$813.03	$5,301.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $497.27 / $497.27 / $497.27	Facility	AS	$497.27	$497.27	$497.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.57 / $640.61 / $3,232.86	Professional		$340.57	$640.61	$3,232.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $612.16 / $852.66 / $1,750.65	Facility		$612.16	$852.66	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $492.37 / $723.42 / $976.77	Professional		$492.37	$723.42	$976.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.08 / $577.07 / $1,905.99	Professional		$315.08	$577.07	$1,905.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.55 / $495.38 / $928.83	Professional		$322.55	$495.38	$928.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $503.94 / $637.90 / $750.50	Professional		$503.94	$637.90	$750.50