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 $320.13 / $499.59 / $902.63	Professional		$320.13	$499.59	$902.63
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 $400.17 / $890.37 / $1,420.10	Professional		$400.17	$890.37	$1,420.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $328.85 / $695.63 / $1,792.93	Professional		$328.85	$695.63	$1,792.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $535.74 / $902.63 / $3,396.00	Facility		$535.74	$902.63	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $539.75 / $1,055.53 / $3,975.68	Professional		$539.75	$1,055.53	$3,975.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $774.46 / $1,157.25 / $2,440.29	Facility		$774.46	$1,157.25	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $667.04 / $922.79 / $1,405.22	Professional		$667.04	$922.79	$1,405.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $893.40 / $1,426.30	Professional		$5.00	$893.40	$1,426.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.50 / $836.04 / $1,527.88	Professional		$513.50	$836.04	$1,527.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $673.20 / $806.59 / $1,201.20	Professional		$673.20	$806.59	$1,201.20