Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $7,120.36	Facility		$4,227.00	$5,463.36	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.49 / $924.18 / $3,470.21	Professional		$657.49	$924.18	$3,470.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,285.00 / $1,285.00	Facility		$1,285.00	$1,285.00	$1,285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.75 / $1,663.43 / $2,331.12	Professional		$682.75	$1,663.43	$2,331.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $636.91 / $1,176.77 / $2,749.16	Professional		$636.91	$1,176.77	$2,749.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $962.66 / $1,663.43 / $5,383.60	Facility		$962.66	$1,663.43	$5,383.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $946.94 / $1,853.79 / $6,428.80	Professional		$946.94	$1,853.79	$6,428.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,394.00 / $1,994.91 / $5,269.25	Facility		$1,394.00	$1,994.91	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,276.00 / $1,663.43 / $2,331.12	Professional		$1,276.00	$1,663.43	$2,331.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,574.20 / $2,248.40	Professional		$5.00	$1,574.20	$2,248.40
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 $868.03 / $1,475.65 / $2,568.82	Professional		$868.03	$1,475.65	$2,568.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,302.80 / $1,532.70 / $1,953.20	Professional		$1,302.80	$1,532.70	$1,953.20