Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.37 / $391.40 / $1,120.53	Professional		$215.37	$391.40	$1,120.53
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 $278.67 / $602.29 / $976.23	Professional		$278.67	$602.29	$976.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.73 / $512.30 / $825.58	Professional		$222.73	$512.30	$825.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.54 / $622.54 / $4,217.00	Facility		$363.54	$622.54	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $377.54 / $756.63 / $2,945.60	Professional		$377.54	$756.63	$2,945.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $512.14 / $791.73 / $2,440.29	Facility		$512.14	$791.73	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $442.30 / $626.91 / $976.23	Professional		$442.30	$626.91	$976.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $650.79 / $1,070.40	Professional		$5.00	$650.79	$1,070.40
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 $360.38 / $549.15 / $1,098.81	Professional		$360.38	$549.15	$1,098.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $456.90 / $559.10 / $888.60	Professional		$456.90	$559.10	$888.60