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 $392.54 / $672.20 / $2,402.75	Professional		$392.54	$672.20	$2,402.75
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 $425.00 / $1,056.46 / $1,320.57	Professional		$425.00	$1,056.46	$1,320.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $402.63 / $666.00 / $1,456.58	Professional		$402.63	$666.00	$1,456.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $550.37 / $995.63 / $6,173.85	Facility		$550.37	$995.63	$6,173.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $484.63 / $985.11 / $3,371.12	Professional		$484.63	$985.11	$3,371.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $752.00 / $1,138.47 / $2,571.84	Facility		$752.00	$1,138.47	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $587.79 / $995.63 / $1,358.71	Professional		$587.79	$995.63	$1,358.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $848.30 / $1,222.09	Professional		$5.00	$848.30	$1,222.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.99 / $702.43 / $1,371.85	Professional		$461.99	$702.43	$1,371.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $693.54 / $877.90 / $1,032.80	Professional		$693.54	$877.90	$1,032.80