Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,817.59 / $7,943.37	Facility		$4,693.00	$5,817.59	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.19 / $605.82 / $1,141.58	Professional		$494.19	$605.82	$1,141.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,392.00 / $1,392.00	Facility		$1,392.00	$1,392.00	$1,392.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.20 / $1,314.34 / $1,642.93	Professional		$544.20	$1,314.34	$1,642.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $527.86 / $856.80 / $2,765.84	Professional		$527.86	$856.80	$2,765.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $845.80 / $1,388.46 / $11,732.00	Facility		$845.80	$1,388.46	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $642.14 / $1,230.28 / $8,481.71	Professional		$642.14	$1,230.28	$8,481.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $1,418.05 / $5,383.60	Facility		$949.00	$1,418.05	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $811.67 / $1,230.28 / $1,760.96	Professional		$811.67	$1,230.28	$1,760.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $964.30 / $1,495.10	Professional		$6.00	$964.30	$1,495.10
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 $613.16 / $970.40 / $1,817.69	Professional		$613.16	$970.40	$1,817.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $889.78 / $1,126.30 / $1,325.00	Professional		$889.78	$1,126.30	$1,325.00