Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.31 / $584.91 / $2,256.54	Professional		$375.31	$584.91	$2,256.54
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 $477.60 / $901.04 / $1,157.58	Professional		$477.60	$901.04	$1,157.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $383.43 / $664.40 / $1,305.08	Professional		$383.43	$664.40	$1,305.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $599.20 / $1,005.75 / $11,555.00	Facility		$599.20	$1,005.75	$11,555.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.15 / $906.84 / $5,296.80	Professional		$494.15	$906.84	$5,296.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $728.00 / $1,132.70 / $5,661.05	Facility		$728.00	$1,132.70	$5,661.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $666.00 / $906.84 / $1,279.47	Professional		$666.00	$906.84	$1,279.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $365.18 / $776.80 / $6,286.70	Professional		$365.18	$776.80	$6,286.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,723.00 / $9,673.00 / $14,242.22	Facility		$4,723.00	$9,673.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $452.97 / $697.31 / $1,340.50	Professional		$452.97	$697.31	$1,340.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $631.67 / $799.60 / $940.70	Professional		$631.67	$799.60	$940.70