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 $254.35 / $360.93 / $1,450.92	Professional		$254.35	$360.93	$1,450.92
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 $318.39 / $603.02 / $852.89	Professional		$318.39	$603.02	$852.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $260.45 / $485.25 / $1,046.57	Professional		$260.45	$485.25	$1,046.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.76 / $717.21 / $12,875.71	Facility		$436.76	$717.21	$12,875.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $328.38 / $646.83 / $2,073.09	Professional		$328.38	$646.83	$2,073.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $507.36 / $817.96 / $6,699.55	Facility		$507.36	$817.96	$6,699.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $486.63 / $634.80 / $837.41	Professional		$486.63	$634.80	$837.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $544.50 / $663.50	Professional		$4.00	$544.50	$663.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,723.00 / $9,346.00 / $14,242.22	Facility		$4,723.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $301.02 / $500.90 / $890.81	Professional		$301.02	$500.90	$890.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $418.78 / $530.10 / $623.60	Professional		$418.78	$530.10	$623.60