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 $489.39 / $792.91 / $2,940.84	Professional		$489.39	$792.91	$2,940.84
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 $526.90 / $1,261.35 / $1,576.70	Professional		$526.90	$1,261.35	$1,576.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $526.08 / $803.11 / $1,727.60	Professional		$526.08	$803.11	$1,727.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $622.41 / $1,252.14 / $6,306.00	Facility		$622.41	$1,252.14	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $590.79 / $1,195.32 / $4,155.84	Professional		$590.79	$1,195.32	$4,155.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $1,435.33 / $2,630.67	Facility		$776.00	$1,435.33	$2,630.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $740.17 / $1,252.14 / $1,537.27	Professional		$740.17	$1,252.14	$1,537.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $959.60 / $1,472.50	Professional		$5.00	$959.60	$1,472.50
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 $581.91 / $888.25 / $1,722.12	Professional		$581.91	$888.25	$1,722.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $881.17 / $1,115.40 / $1,312.20	Professional		$881.17	$1,115.40	$1,312.20