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 $865.55 / $1,394.16 / $1,394.16	Professional		$865.55	$1,394.16	$1,394.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,051.54 / $2,350.42 / $2,669.73	Professional		$2,051.54	$2,350.42	$2,669.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $909.60 / $1,442.35 / $2,522.42	Professional		$909.60	$1,442.35	$2,522.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,402.39 / $2,350.42 / $6,608.00	Facility		$1,402.39	$2,350.42	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,180.13 / $2,239.76 / $7,254.95	Professional		$1,180.13	$2,239.76	$7,254.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,467.23 / $2,151.36 / $2,888.34	Facility		$1,467.23	$2,151.36	$2,888.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $2,151.36 / $2,888.34	Professional		$1,530.00	$2,151.36	$2,888.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,770.50 / $2,452.10	Professional		$15.00	$1,770.50	$2,452.10
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 $1,064.34 / $1,857.06 / $3,012.85	Professional		$1,064.34	$1,857.06	$3,012.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,821.60 / $1,821.60 / $2,143.10	Professional		$1,821.60	$1,821.60	$2,143.10