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 $470.63 / $700.19 / $2,656.78	Professional		$470.63	$700.19	$2,656.78
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 $480.24 / $1,149.17 / $1,436.47	Professional		$480.24	$1,149.17	$1,436.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.22 / $756.69 / $1,690.08	Professional		$467.22	$756.69	$1,690.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $706.17 / $1,158.08 / $6,173.85	Facility		$706.17	$1,158.08	$6,173.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $578.77 / $1,117.89 / $3,793.76	Professional		$578.77	$1,117.89	$3,793.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $874.00 / $1,329.26 / $2,571.84	Facility		$874.00	$1,329.26	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $782.77 / $1,117.89 / $1,527.59	Professional		$782.77	$1,117.89	$1,527.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $939.70 / $1,293.59	Professional		$5.00	$939.70	$1,293.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,163.00 / $8,837.89	Facility		$3,044.00	$5,163.00	$8,837.89
United Facility/Professional Professional Modifier Low / Median / High Price $530.54 / $882.62 / $1,570.06	Professional		$530.54	$882.62	$1,570.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $778.70 / $985.70 / $1,159.70	Professional		$778.70	$985.70	$1,159.70