Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.47 / $351.01 / $1,109.99	Professional		$201.47	$351.01	$1,109.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $646.00 / $646.00	Facility		$646.00	$646.00	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $549.29 / $1,141.18	Professional		$267.45	$549.29	$1,141.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.26 / $539.50 / $1,125.79	Professional		$197.26	$539.50	$1,125.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.42 / $681.80 / $1,770.00	Facility		$350.42	$681.80	$1,770.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $447.42 / $878.25 / $3,002.32	Professional		$447.42	$878.25	$3,002.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $454.14 / $788.05 / $1,090.50	Facility		$454.14	$788.05	$1,090.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $454.14 / $696.37 / $1,108.50	Professional		$454.14	$696.37	$1,108.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.86 / $414.33 / $1,010.82	Professional		$201.86	$414.33	$1,010.82
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 $410.14 / $677.38 / $1,213.74	Professional		$410.14	$677.38	$1,213.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $400.50 / $490.00 / $906.80	Professional		$400.50	$490.00	$906.80