Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $7,120.36	Facility		$4,227.00	$5,463.36	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.53 / $783.10 / $1,291.45	Professional		$524.53	$783.10	$1,291.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,285.00 / $1,285.00	Facility		$1,285.00	$1,285.00	$1,285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.41 / $1,301.88 / $1,627.35	Professional		$552.41	$1,301.88	$1,627.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $542.17 / $850.07 / $1,656.72	Professional		$542.17	$850.07	$1,656.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $651.66 / $1,304.21 / $6,306.00	Facility		$651.66	$1,304.21	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $595.57 / $1,208.85 / $4,281.28	Professional		$595.57	$1,208.85	$4,281.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,486.33 / $2,630.67	Facility		$808.00	$1,486.33	$2,630.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $746.96 / $1,266.49 / $1,585.31	Professional		$746.96	$1,266.49	$1,585.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $581.79 / $1,088.28 / $2,880.78	Professional		$581.79	$1,088.28	$2,880.78
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 $583.65 / $848.94 / $1,727.23	Professional		$583.65	$848.94	$1,727.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $908.50 / $1,150.00 / $1,353.00	Professional		$908.50	$1,150.00	$1,353.00