Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.52 / $859.49 / $3,209.66	Professional		$542.52	$859.49	$3,209.66
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 $564.20 / $1,363.43 / $1,704.28	Professional		$564.20	$1,363.43	$1,704.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $573.58 / $900.33 / $2,243.25	Professional		$573.58	$900.33	$2,243.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $694.45 / $1,374.08 / $6,306.00	Facility		$694.45	$1,374.08	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $647.45 / $1,317.10 / $4,513.20	Professional		$647.45	$1,317.10	$4,513.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $881.00 / $1,601.87 / $2,630.67	Facility		$881.00	$1,601.87	$2,630.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $809.56 / $1,373.78 / $1,676.64	Professional		$809.56	$1,373.78	$1,676.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,061.30 / $1,594.70	Professional		$5.00	$1,061.30	$1,594.70
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 $634.67 / $926.80 / $1,885.63	Professional		$634.67	$926.80	$1,885.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $957.16 / $1,211.59 / $1,425.40	Professional		$957.16	$1,211.59	$1,425.40