Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,119.04 / $11,611.47	Facility		$5,091.00	$7,119.04	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.40 / $365.76 / $1,104.07	Professional		$201.40	$365.76	$1,104.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $1,932.00 / $1,932.00	Facility		$1,932.00	$1,932.00	$1,932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.22 / $553.78 / $901.52	Professional		$270.22	$553.78	$901.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $482.92 / $879.78	Professional		$208.25	$482.92	$879.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.15 / $578.40 / $4,217.00	Facility		$333.15	$578.40	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.59 / $713.23 / $2,803.36	Professional		$356.59	$713.23	$2,803.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $476.10 / $744.90 / $2,440.29	Facility		$476.10	$744.90	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $412.27 / $586.08 / $928.63	Professional		$412.27	$586.08	$928.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $614.90 / $1,020.10	Professional		$5.00	$614.90	$1,020.10
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 $352.83 / $553.57 / $1,055.27	Professional		$352.83	$553.57	$1,055.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $427.40 / $522.90 / $845.60	Professional		$427.40	$522.90	$845.60