Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,879.03 / $3,795.64 / $7,119.04	Facility		$1,879.03	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.33 / $481.62 / $1,064.97	Professional		$171.33	$481.62	$1,064.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $646.00 / $646.00	Facility		$646.00	$646.00	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.11 / $486.60 / $1,486.83	Professional		$232.11	$486.60	$1,486.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.43 / $718.03 / $1,174.44	Professional		$173.43	$718.03	$1,174.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.31 / $783.97 / $4,217.00	Facility		$302.31	$783.97	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.91 / $1,140.04 / $4,108.64	Professional		$473.91	$1,140.04	$4,108.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $415.68 / $1,205.96 / $2,532.54	Facility		$415.68	$1,205.96	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $403.20 / $802.42 / $1,486.83	Professional		$403.20	$802.42	$1,486.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.29 / $569.09 / $2,774.96	Professional		$181.29	$569.09	$2,774.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,484.54 / $5,732.00 / $8,342.00	Facility		$3,484.54	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.05 / $879.94 / $1,645.72	Professional		$555.05	$879.94	$1,645.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.50 / $435.00 / $1,251.00	Professional		$355.50	$435.00	$1,251.00