Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.17 / $212.79 / $345.86	Professional		$198.17	$212.79	$345.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.56 / $425.00 / $606.72	Professional		$284.56	$425.00	$606.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $285.56 / $458.04	Professional		$116.10	$285.56	$458.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.75 / $362.27 / $4,452.04	Facility		$257.75	$362.27	$4,452.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $454.14 / $1,570.32	Professional		$231.00	$454.14	$1,570.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.50 / $336.00 / $546.61	Facility		$250.50	$336.00	$546.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $254.58 / $364.66 / $576.48	Professional		$254.58	$364.66	$576.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $412.60 / $577.50	Professional		$5.00	$412.60	$577.50
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 $211.08 / $358.83 / $624.66	Professional		$211.08	$358.83	$624.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $246.50 / $290.00 / $462.80	Professional		$246.50	$290.00	$462.80