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 $326.42 / $482.80 / $1,883.04	Professional		$326.42	$482.80	$1,883.04
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 $432.48 / $785.33 / $1,153.32	Professional		$432.48	$785.33	$1,153.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $325.76 / $617.33 / $1,613.63	Professional		$325.76	$617.33	$1,613.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $567.54 / $916.04 / $5,301.00	Facility		$567.54	$916.04	$5,301.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.75 / $814.31 / $2,826.69	Professional		$416.75	$814.31	$2,826.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $655.27 / $984.13 / $1,622.05	Facility		$655.27	$984.13	$1,622.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $563.10 / $767.55 / $1,090.80	Professional		$563.10	$767.55	$1,090.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $614.24 / $1,772.25	Professional		$318.44	$614.24	$1,772.25
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 $382.02 / $595.20 / $1,130.53	Professional		$382.02	$595.20	$1,130.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $534.36 / $676.40 / $795.80	Professional		$534.36	$676.40	$795.80