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 $335.37 / $584.92 / $2,179.60	Professional		$335.37	$584.92	$2,179.60
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 $418.67 / $937.26 / $1,171.57	Professional		$418.67	$937.26	$1,171.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $392.10 / $615.47 / $1,298.13	Professional		$392.10	$615.47	$1,298.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $592.40 / $936.71 / $3,543.76	Facility		$592.40	$936.71	$3,543.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.48 / $878.63 / $3,100.80	Professional		$451.48	$878.63	$3,100.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $606.00 / $1,010.03 / $1,219.24	Facility		$606.00	$1,010.03	$1,219.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $560.13 / $878.63 / $1,185.33	Professional		$560.13	$878.63	$1,185.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $714.70 / $1,088.00	Professional		$5.00	$714.70	$1,088.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $4,663.00 / $7,305.00	Facility		$2,559.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.85 / $628.14 / $1,278.00	Professional		$431.85	$628.14	$1,278.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $656.02 / $830.40 / $977.00	Professional		$656.02	$830.40	$977.00