Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.83 / $706.19 / $1,215.00	Professional		$575.83	$706.19	$1,215.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.42 / $1,407.83 / $1,759.79	Professional		$584.42	$1,407.83	$1,759.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $568.48 / $899.99 / $1,619.19	Professional		$568.48	$899.99	$1,619.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $868.35 / $1,438.43 / $6,837.54	Facility		$868.35	$1,438.43	$6,837.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $709.13 / $1,364.63 / $4,632.96	Professional		$709.13	$1,364.63	$4,632.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,063.00 / $1,610.19 / $2,571.84	Facility		$1,063.00	$1,610.19	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $973.00 / $1,364.63 / $1,887.16	Professional		$973.00	$1,364.63	$1,887.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,166.40 / $1,567.70	Professional		$5.00	$1,166.40	$1,567.70
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 $650.03 / $960.35 / $1,923.69	Professional		$650.03	$960.35	$1,923.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $950.61 / $1,203.30 / $1,415.60	Professional		$950.61	$1,203.30	$1,415.60