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 $326.73 / $490.65 / $766.42	Professional		$326.73	$490.65	$766.42
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 $386.03 / $867.10 / $1,234.83	Professional		$386.03	$867.10	$1,234.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $605.12 / $1,136.91	Professional		$312.25	$605.12	$1,136.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.93 / $858.39 / $5,383.60	Facility		$508.93	$858.39	$5,383.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.00 / $995.86 / $3,315.60	Professional		$523.00	$995.86	$3,315.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $719.80 / $1,025.92 / $5,269.25	Facility		$719.80	$1,025.92	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $632.20 / $883.93 / $1,234.83	Professional		$632.20	$883.93	$1,234.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $883.80 / $1,219.20	Professional		$5.00	$883.80	$1,219.20
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 $478.91 / $726.30 / $1,433.18	Professional		$478.91	$726.30	$1,433.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $746.70 / $1,017.70	Professional		$634.70	$746.70	$1,017.70