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 $302.82 / $429.74 / $1,724.92	Professional		$302.82	$429.74	$1,724.92
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 $345.14 / $715.99 / $1,010.94	Professional		$345.14	$715.99	$1,010.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.10 / $563.13 / $1,516.34	Professional		$309.10	$563.13	$1,516.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $514.79 / $853.56 / $7,915.44	Facility		$514.79	$853.56	$7,915.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $390.44 / $754.28 / $2,451.36	Professional		$390.44	$754.28	$2,451.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $604.01 / $972.41 / $4,232.42	Facility		$604.01	$972.41	$4,232.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $578.30 / $754.28 / $995.91	Professional		$578.30	$754.28	$995.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $640.70 / $789.00	Professional		$4.00	$640.70	$789.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $6,588.00 / $10,320.00	Facility		$1,770.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.91 / $602.73 / $1,059.18	Professional		$357.91	$602.73	$1,059.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $496.83 / $628.90 / $739.90	Professional		$496.83	$628.90	$739.90