Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,549.00 / $10,375.54	Facility		$3,496.00	$5,549.00	$10,375.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.56 / $580.23 / $2,153.64	Professional		$393.56	$580.23	$2,153.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,089.00 / $1,089.00	Facility		$1,089.00	$1,089.00	$1,089.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.90 / $1,010.35 / $1,426.34	Professional		$438.90	$1,010.35	$1,426.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.19 / $750.62 / $1,170.27	Professional		$393.19	$750.62	$1,170.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $570.64 / $1,017.74 / $2,808.05	Facility		$570.64	$1,017.74	$2,808.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $585.50 / $1,161.78 / $4,088.00	Professional		$585.50	$1,161.78	$4,088.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $799.40 / $1,107.68 / $1,426.34	Facility		$799.40	$1,107.68	$1,426.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $723.59 / $1,044.33 / $1,426.34	Professional		$723.59	$1,044.33	$1,426.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $438.32 / $817.42 / $1,301.45	Professional		$438.32	$817.42	$1,301.45
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 $542.55 / $828.40 / $1,628.42	Professional		$542.55	$828.40	$1,628.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $838.10 / $986.00 / $1,273.70	Professional		$838.10	$986.00	$1,273.70