Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,380.30 / $5,390.00 / $7,943.37	Facility		$2,380.30	$5,390.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.21 / $858.10 / $1,461.65	Professional		$677.21	$858.10	$1,461.65
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 $630.29 / $1,710.90 / $2,138.63	Professional		$630.29	$1,710.90	$2,138.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $669.79 / $1,102.43 / $2,478.13	Professional		$669.79	$1,102.43	$2,478.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $981.44 / $1,673.36 / $11,732.00	Facility		$981.44	$1,673.36	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $821.76 / $1,633.19 / $6,710.08	Professional		$821.76	$1,633.19	$6,710.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,320.00 / $1,940.82 / $5,383.60	Facility		$1,320.00	$1,940.82	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $928.13 / $1,633.19 / $2,180.73	Professional		$928.13	$1,633.19	$2,180.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,394.10 / $1,953.40	Professional		$6.00	$1,394.10	$1,953.40
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 $754.01 / $1,158.51 / $2,231.38	Professional		$754.01	$1,158.51	$2,231.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,137.68 / $1,440.10 / $1,694.20	Professional		$1,137.68	$1,440.10	$1,694.20