Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.38 / $1,039.94 / $1,039.94	Professional		$647.38	$1,039.94	$1,039.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,417.96 / $1,754.58 / $1,975.02	Professional		$1,417.96	$1,754.58	$1,975.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $672.80 / $1,055.55 / $1,788.75	Professional		$672.80	$1,055.55	$1,788.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.05 / $1,657.76 / $6,608.00	Facility		$933.05	$1,657.76	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $840.77 / $1,646.37 / $5,292.96	Professional		$840.77	$1,646.37	$5,292.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,083.96 / $1,602.61 / $2,111.06	Facility		$1,083.96	$1,602.61	$2,111.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,083.96 / $1,602.61 / $2,025.57	Professional		$1,083.96	$1,602.61	$2,025.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,304.70 / $1,845.80	Professional		$15.00	$1,304.70	$1,845.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $782.37 / $1,401.46 / $2,214.65	Professional		$782.37	$1,401.46	$2,214.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,357.00 / $1,357.00 / $1,596.50	Professional		$1,357.00	$1,357.00	$1,596.50