Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.53 / $1,104.83 / $4,041.92	Professional		$706.53	$1,104.83	$4,041.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.91 / $1,735.83 / $2,169.79	Professional		$635.91	$1,735.83	$2,169.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $678.59 / $1,067.28 / $2,446.17	Professional		$678.59	$1,067.28	$2,446.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $903.78 / $1,632.68 / $4,036.74	Facility		$903.78	$1,632.68	$4,036.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $843.75 / $1,655.73 / $5,632.00	Professional		$843.75	$1,655.73	$5,632.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,058.38 / $1,407.58 / $2,304.60	Facility		$1,058.38	$1,407.58	$2,304.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $946.05 / $1,655.73 / $2,304.60	Professional		$946.05	$1,655.73	$2,304.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,432.40 / $2,004.80	Professional		$5.00	$1,432.40	$2,004.80
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 $785.87 / $1,183.58 / $2,337.96	Professional		$785.87	$1,183.58	$2,337.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,153.40 / $1,460.00 / $1,717.60	Professional		$1,153.40	$1,460.00	$1,717.60