Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,277.00 / $7,119.04	Facility		$2,906.00	$4,277.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $320.10 / $1,187.28	Professional		$216.49	$320.10	$1,187.28
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 $279.89 / $563.84 / $823.88	Professional		$279.89	$563.84	$823.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.93 / $413.15 / $747.75	Professional		$215.93	$413.15	$747.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.48 / $585.77 / $2,309.75	Facility		$337.48	$585.77	$2,309.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.04 / $668.12 / $2,276.00	Professional		$342.04	$668.12	$2,276.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $493.83 / $697.05 / $1,183.28	Facility		$493.83	$697.05	$1,183.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $443.67 / $591.50 / $823.88	Professional		$443.67	$591.50	$823.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.80 / $411.99 / $1,304.89	Professional		$216.80	$411.99	$1,304.89
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 $310.73 / $535.86 / $927.86	Professional		$310.73	$535.86	$927.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $442.20 / $520.20 / $693.10	Professional		$442.20	$520.20	$693.10