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 $703.60 / $1,132.28 / $1,132.28	Professional		$703.60	$1,132.28	$1,132.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,711.68 / $1,910.34 / $2,147.17	Professional		$1,711.68	$1,910.34	$2,147.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $736.74 / $1,214.06 / $2,054.06	Professional		$736.74	$1,214.06	$2,054.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,134.51 / $1,880.34 / $6,608.00	Facility		$1,134.51	$1,880.34	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $956.12 / $1,805.93 / $6,383.18	Professional		$956.12	$1,805.93	$6,383.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,190.61 / $1,747.44 / $2,324.85	Facility		$1,190.61	$1,747.44	$2,324.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,256.00 / $1,747.44 / $2,324.85	Professional		$1,256.00	$1,747.44	$2,324.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,437.40 / $1,986.60	Professional		$12.00	$1,437.40	$1,986.60
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 $858.19 / $1,537.28 / $2,429.27	Professional		$858.19	$1,537.28	$2,429.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.60 / $1,479.60 / $1,740.70	Professional		$1,479.60	$1,479.60	$1,740.70