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 $747.27 / $1,007.97 / $1,053.66	Professional		$747.27	$1,007.97	$1,053.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.58 / $1,792.60 / $1,929.33	Professional		$1,521.58	$1,792.60	$1,929.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $655.86 / $1,260.26 / $2,132.46	Professional		$655.86	$1,260.26	$2,132.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,305.00 / $1,703.47 / $6,608.00	Facility		$1,305.00	$1,703.47	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $874.34 / $1,613.46 / $7,761.84	Professional		$874.34	$1,613.46	$7,761.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,062.77 / $1,589.62 / $2,079.13	Facility		$1,062.77	$1,589.62	$2,079.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,177.20 / $1,589.62 / $2,079.13	Professional		$1,177.20	$1,589.62	$2,079.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,397.70 / $1,775.50	Professional		$15.00	$1,397.70	$1,775.50
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 $766.73 / $1,569.21 / $2,170.37	Professional		$766.73	$1,569.21	$2,170.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,316.30 / $1,316.30 / $1,548.60	Professional		$1,316.30	$1,316.30	$1,548.60