Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.16 / $457.61 / $1,522.73	Professional		$279.16	$457.61	$1,522.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $646.00 / $646.00	Facility		$646.00	$646.00	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.42 / $709.22 / $1,142.15	Professional		$318.42	$709.22	$1,142.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.86 / $556.79 / $829.97	Professional		$274.86	$556.79	$829.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $417.00 / $714.69 / $1,207.83	Facility		$417.00	$714.69	$1,207.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $895.78 / $3,156.32	Professional		$434.00	$895.78	$3,156.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $470.93 / $658.03 / $1,107.31	Facility		$470.93	$658.03	$1,107.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $556.80 / $763.83 / $1,142.15	Professional		$556.80	$763.83	$1,142.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $764.60 / $1,123.80	Professional		$5.00	$764.60	$1,123.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $1,966.00	Facility		$1,026.00	$1,607.00	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.22 / $643.52 / $1,277.41	Professional		$426.22	$643.52	$1,277.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $560.20 / $659.10 / $964.10	Professional		$560.20	$659.10	$964.10