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 $460.92 / $707.84 / $2,636.16	Professional		$460.92	$707.84	$2,636.16
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 $464.01 / $1,128.92 / $1,411.14	Professional		$464.01	$1,128.92	$1,411.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $449.15 / $734.38 / $2,001.41	Professional		$449.15	$734.38	$2,001.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $662.93 / $1,160.55 / $11,732.00	Facility		$662.93	$1,160.55	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $567.53 / $1,085.86 / $4,794.81	Professional		$567.53	$1,085.86	$4,794.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $849.00 / $1,321.18 / $5,383.60	Facility		$849.00	$1,321.18	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $768.74 / $1,085.86 / $1,514.14	Professional		$768.74	$1,085.86	$1,514.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $967.80 / $1,285.50	Professional		$5.00	$967.80	$1,285.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $7,487.00 / $11,732.00	Facility		$1,770.00	$7,487.00	$11,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.23 / $880.57 / $1,539.56	Professional		$520.23	$880.57	$1,539.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $756.43 / $957.50 / $1,126.50	Professional		$756.43	$957.50	$1,126.50