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 $268.27 / $424.17 / $930.68	Professional		$268.27	$424.17	$930.68
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 $349.01 / $678.70 / $1,058.07	Professional		$349.01	$678.70	$1,058.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.85 / $522.80 / $1,193.89	Professional		$269.85	$522.80	$1,193.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $417.52 / $738.06 / $4,217.00	Facility		$417.52	$738.06	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $435.86 / $852.98 / $2,915.36	Professional		$435.86	$852.98	$2,915.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $603.37 / $869.74 / $2,440.29	Facility		$603.37	$869.74	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.26 / $752.25 / $1,058.07	Professional		$575.26	$752.25	$1,058.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $757.20 / $1,037.50	Professional		$5.00	$757.20	$1,037.50
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 $399.54 / $657.93 / $1,182.39	Professional		$399.54	$657.93	$1,182.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $553.79 / $651.60 / $884.90	Professional		$553.79	$651.60	$884.90