Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,044.97 / $2,912.34 / $6,446.00	Facility		$2,044.97	$2,912.34	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $207.21 / $577.54	Professional		$121.70	$207.21	$577.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.57 / $360.33 / $533.67	Professional		$276.57	$360.33	$533.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $256.11 / $408.85	Professional		$114.02	$256.11	$408.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.72 / $346.51 / $2,142.52	Facility		$230.72	$346.51	$2,142.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.19 / $402.48 / $1,384.24	Professional		$224.19	$402.48	$1,384.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $203.35 / $297.01 / $500.67	Facility		$203.35	$297.01	$500.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $243.68 / $346.51 / $505.62	Professional		$243.68	$346.51	$505.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $362.10 / $501.00	Professional		$5.00	$362.10	$501.00
United Facility/Professional Facility Modifier Low / Median / High Price $923.82 / $1,806.92 / $5,454.00	Facility		$923.82	$1,806.92	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.13 / $377.20 / $572.35	Professional		$197.13	$377.20	$572.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.60 / $281.80 / $410.20	Professional		$239.60	$281.80	$410.20