Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.05 / $573.84 / $1,837.37	Professional		$331.05	$573.84	$1,837.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $646.00 / $646.00	Facility		$646.00	$646.00	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.85 / $911.34 / $1,485.63	Professional		$410.85	$911.34	$1,485.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $340.05 / $715.73 / $1,375.97	Professional		$340.05	$715.73	$1,375.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.79 / $933.72 / $3,396.00	Facility		$562.79	$933.72	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $572.59 / $1,092.20 / $4,072.48	Professional		$572.59	$1,092.20	$4,072.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,188.26 / $2,440.29	Facility		$775.00	$1,188.26	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $954.41 / $1,440.75	Professional		$710.00	$954.41	$1,440.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $920.10 / $1,458.50	Professional		$5.00	$920.10	$1,458.50
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 $530.39 / $788.75 / $1,569.61	Professional		$530.39	$788.75	$1,569.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $696.30 / $827.37 / $1,232.20	Professional		$696.30	$827.37	$1,232.20