Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $9,383.50	Facility		$4,227.00	$5,463.36	$9,383.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.58 / $446.04 / $942.08	Professional		$372.58	$446.04	$942.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,285.00 / $1,285.00	Facility		$1,285.00	$1,285.00	$1,285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.72 / $921.68 / $1,152.08	Professional		$394.72	$921.68	$1,152.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $385.79 / $604.76 / $1,780.42	Professional		$385.79	$604.76	$1,780.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $591.42 / $984.33 / $10,320.00	Facility		$591.42	$984.33	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $445.42 / $882.78 / $7,231.97	Professional		$445.42	$882.78	$7,231.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,125.33 / $6,699.55	Facility		$624.00	$1,125.33	$6,699.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $571.00 / $882.78 / $1,193.04	Professional		$571.00	$882.78	$1,193.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $414.16 / $774.89 / $6,663.27	Professional		$414.16	$774.89	$6,663.27
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 $426.05 / $646.86 / $1,260.83	Professional		$426.05	$646.86	$1,260.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $644.88 / $816.30 / $960.40	Professional		$644.88	$816.30	$960.40