Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.69 / $4,235.59 / $7,119.04	Facility		$1,086.69	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $478.54 / $1,123.33	Professional		$311.52	$478.54	$1,123.33
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 $347.79 / $832.19 / $1,187.15	Professional		$347.79	$832.19	$1,187.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $322.57 / $581.41 / $1,029.89	Professional		$322.57	$581.41	$1,029.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $391.68 / $841.02 / $4,217.00	Facility		$391.68	$841.02	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $456.71 / $978.56 / $3,522.00	Professional		$456.71	$978.56	$3,522.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $665.49 / $1,044.38 / $2,532.54	Facility		$665.49	$1,044.38	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $553.46 / $875.87 / $1,187.15	Professional		$553.46	$875.87	$1,187.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $340.65 / $635.98 / $2,774.96	Professional		$340.65	$635.98	$2,774.96
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 $454.28 / $697.75 / $1,415.93	Professional		$454.28	$697.75	$1,415.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $664.90 / $782.20 / $1,083.40	Professional		$664.90	$782.20	$1,083.40