Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,463.36 / $7,119.04	Facility		$3,496.00	$5,463.36	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.14 / $488.61 / $1,521.12	Professional		$299.14	$488.61	$1,521.12
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 $366.73 / $781.62 / $1,241.78	Professional		$366.73	$781.62	$1,241.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.51 / $642.12 / $1,046.57	Professional		$302.51	$642.12	$1,046.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $485.10 / $814.11 / $4,217.00	Facility		$485.10	$814.11	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $509.12 / $1,010.30 / $3,530.88	Professional		$509.12	$1,010.30	$3,530.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $692.57 / $1,055.30 / $2,532.54	Facility		$692.57	$1,055.30	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $609.97 / $860.62 / $1,241.78	Professional		$609.97	$860.62	$1,241.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $334.91 / $606.32 / $2,805.10	Professional		$334.91	$606.32	$2,805.10
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 $490.72 / $714.11 / $1,421.58	Professional		$490.72	$714.11	$1,421.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $626.29 / $736.90 / $1,094.80	Professional		$626.29	$736.90	$1,094.80