Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.04 / $516.17 / $882.70	Professional		$275.04	$516.17	$882.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.82 / $680.93 / $851.17	Professional		$346.82	$680.93	$851.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.74 / $357.48 / $1,637.27	Professional		$213.74	$357.48	$1,637.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $516.17 / $1,084.00 / $3,482.00	Facility		$516.17	$1,084.00	$3,482.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.17 / $785.45 / $3,252.00	Professional		$338.17	$785.45	$3,252.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $274.33 / $637.13 / $876.55	Facility		$274.33	$637.13	$876.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $555.03 / $726.60 / $1,178.21	Professional		$555.03	$726.60	$1,178.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $249.33 / $396.38 / $532.16	Professional		$249.33	$396.38	$532.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.99 / $592.08 / $962.60	Professional		$309.99	$592.08	$962.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $438.29 / $562.90 / $652.70	Professional		$438.29	$562.90	$652.70