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 $334.92 / $517.39 / $1,933.34	Professional		$334.92	$517.39	$1,933.34
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 $380.08 / $831.30 / $1,039.11	Professional		$380.08	$831.30	$1,039.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.70 / $543.50 / $1,205.01	Professional		$346.70	$543.50	$1,205.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.82 / $833.33 / $6,306.00	Facility		$428.82	$833.33	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.48 / $794.17 / $4,015.48	Professional		$398.48	$794.17	$4,015.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $993.54 / $2,630.67	Facility		$545.00	$993.54	$2,630.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $544.54 / $828.98 / $1,041.65	Professional		$544.54	$828.98	$1,041.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $670.30 / $960.80	Professional		$5.00	$670.30	$960.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $5,732.00 / $8,342.00	Facility		$2,950.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.72 / $570.53 / $1,132.61	Professional		$382.72	$570.53	$1,132.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $580.49 / $734.80 / $864.50	Professional		$580.49	$734.80	$864.50