Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.57 / $3,536.52 / $6,446.00	Facility		$1,127.57	$3,536.52	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.71 / $522.87 / $1,823.36	Professional		$336.71	$522.87	$1,823.36
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 $406.00 / $871.16 / $1,408.76	Professional		$406.00	$871.16	$1,408.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $335.61 / $693.96 / $1,243.93	Professional		$335.61	$693.96	$1,243.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $535.67 / $919.86 / $4,217.00	Facility		$535.67	$919.86	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $560.64 / $1,104.83 / $3,837.36	Professional		$560.64	$1,104.83	$3,837.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $758.54 / $1,140.46 / $2,532.54	Facility		$758.54	$1,140.46	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $958.39 / $1,408.76	Professional		$684.00	$958.39	$1,408.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.84 / $670.21 / $2,805.10	Professional		$368.84	$670.21	$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 $527.13 / $780.02 / $1,586.99	Professional		$527.13	$780.02	$1,586.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $692.40 / $814.60 / $1,183.09	Professional		$692.40	$814.60	$1,183.09