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 $288.82 / $485.82 / $1,596.59	Professional		$288.82	$485.82	$1,596.59
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 $321.51 / $759.44 / $1,169.24	Professional		$321.51	$759.44	$1,169.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $279.08 / $570.84 / $1,192.50	Professional		$279.08	$570.84	$1,192.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $449.90 / $759.44 / $7,379.00	Facility		$449.90	$759.44	$7,379.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $465.72 / $951.95 / $3,220.08	Professional		$465.72	$951.95	$3,220.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $644.11 / $951.95 / $5,269.25	Facility		$644.11	$951.95	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $563.53 / $793.02 / $1,169.24	Professional		$563.53	$793.02	$1,169.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $846.10 / $1,162.40	Professional		$5.00	$846.10	$1,162.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $7,487.00 / $11,732.00	Facility		$1,770.00	$7,487.00	$11,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.72 / $745.09 / $1,378.23	Professional		$465.72	$745.09	$1,378.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $567.90 / $668.20 / $987.50	Professional		$567.90	$668.20	$987.50