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 $878.15 / $1,414.57 / $1,414.57	Professional		$878.15	$1,414.57	$1,414.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,101.34 / $2,384.67 / $2,715.30	Professional		$2,101.34	$2,384.67	$2,715.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $922.40 / $1,482.08 / $2,595.46	Professional		$922.40	$1,482.08	$2,595.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,379.87 / $2,310.03 / $6,608.00	Facility		$1,379.87	$2,310.03	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,213.58 / $2,272.77 / $7,192.00	Professional		$1,213.58	$2,272.77	$7,192.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,496.20 / $2,181.19 / $2,925.15	Facility		$1,496.20	$2,181.19	$2,925.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,586.00 / $2,181.19 / $2,925.15	Professional		$1,586.00	$2,181.19	$2,925.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,796.90 / $2,486.90	Professional		$15.00	$1,796.90	$2,486.90
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 $1,080.03 / $1,934.67 / $3,057.25	Professional		$1,080.03	$1,934.67	$3,057.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,846.90 / $1,846.90 / $2,172.80	Professional		$1,846.90	$1,846.90	$2,172.80