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 $593.67 / $915.18 / $3,455.92	Professional		$593.67	$915.18	$3,455.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.57 / $1,455.36 / $1,819.20	Professional		$637.57	$1,455.36	$1,819.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $621.79 / $979.28 / $1,997.24	Professional		$621.79	$979.28	$1,997.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $864.39 / $1,455.22 / $7,915.44	Facility		$864.39	$1,455.22	$7,915.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $725.08 / $1,333.93 / $4,871.35	Professional		$725.08	$1,333.93	$4,871.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,043.00 / $1,673.02 / $3,162.53	Facility		$1,043.00	$1,673.02	$3,162.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $915.15 / $1,390.66 / $1,818.85	Professional		$915.15	$1,390.66	$1,818.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,109.50 / $1,703.90	Professional		$7.00	$1,109.50	$1,703.90
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 $689.87 / $1,003.44 / $2,041.56	Professional		$689.87	$1,003.44	$2,041.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,031.74 / $1,306.00 / $1,536.40	Professional		$1,031.74	$1,306.00	$1,536.40