Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,463.36 / $7,119.04	Facility		$3,496.00	$5,463.36	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.37 / $543.60 / $1,068.04	Professional		$306.37	$543.60	$1,068.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,089.00 / $1,089.00	Facility		$1,089.00	$1,089.00	$1,089.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.14 / $868.82 / $1,399.57	Professional		$402.14	$868.82	$1,399.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $335.50 / $708.86 / $1,014.24	Professional		$335.50	$708.86	$1,014.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $527.86 / $911.56 / $4,217.00	Facility		$527.86	$911.56	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.95 / $1,082.97 / $4,039.28	Professional		$549.95	$1,082.97	$4,039.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $705.08 / $1,083.03 / $2,440.29	Facility		$705.08	$1,083.03	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.45 / $899.83 / $1,399.57	Professional		$645.45	$899.83	$1,399.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $868.60 / $1,464.00	Professional		$5.00	$868.60	$1,464.00
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 $524.95 / $799.92 / $1,544.80	Professional		$524.95	$799.92	$1,544.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $681.50 / $822.86 / $1,225.40	Professional		$681.50	$822.86	$1,225.40