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 $434.42 / $659.63 / $2,212.00	Professional		$434.42	$659.63	$2,212.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.54 / $1,125.80 / $1,407.25	Professional		$460.54	$1,125.80	$1,407.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $456.41 / $681.38 / $1,951.37	Professional		$456.41	$681.38	$1,951.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $591.29 / $1,094.01 / $8,342.00	Facility		$591.29	$1,094.01	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $544.94 / $1,078.13 / $4,468.60	Professional		$544.94	$1,078.13	$4,468.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $1,258.99 / $5,383.60	Facility		$788.00	$1,258.99	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $745.14 / $1,078.60 / $1,480.83	Professional		$745.14	$1,078.60	$1,480.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $801.40 / $1,210.30	Professional		$5.00	$801.40	$1,210.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $5,327.00 / $8,342.00	Facility		$1,770.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.90 / $758.18 / $1,542.56	Professional		$508.90	$758.18	$1,542.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $751.37 / $951.10 / $1,118.90	Professional		$751.37	$951.10	$1,118.90