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 $297.29 / $502.07 / $1,110.31	Professional		$297.29	$502.07	$1,110.31
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 $349.44 / $744.55 / $1,093.16	Professional		$349.44	$744.55	$1,093.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $276.25 / $545.05 / $1,503.83	Professional		$276.25	$545.05	$1,503.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $429.96 / $744.55 / $1,281.09	Facility		$429.96	$744.55	$1,281.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $464.76 / $910.46 / $2,982.08	Professional		$464.76	$910.46	$2,982.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $470.93 / $700.94 / $1,068.98	Facility		$470.93	$700.94	$1,068.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $585.17 / $799.86 / $1,084.66	Professional		$585.17	$799.86	$1,084.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $854.90 / $1,054.90	Professional		$5.00	$854.90	$1,054.90
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 $426.03 / $703.07 / $1,260.78	Professional		$426.03	$703.07	$1,260.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $587.20 / $690.80 / $914.30	Professional		$587.20	$690.80	$914.30