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 $831.12 / $1,337.53 / $1,337.53	Professional		$831.12	$1,337.53	$1,337.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,999.25 / $2,235.46 / $2,533.05	Professional		$1,999.25	$2,235.46	$2,533.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.21 / $1,411.67 / $2,391.13	Professional		$870.21	$1,411.67	$2,391.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,269.58 / $2,144.23 / $6,608.00	Facility		$1,269.58	$2,144.23	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.00 / $2,139.67 / $6,742.24	Professional		$1,122.00	$2,139.67	$6,742.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,413.61 / $2,061.11 / $2,744.17	Facility		$1,413.61	$2,061.11	$2,744.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,459.00 / $2,061.11 / $2,744.17	Professional		$1,459.00	$2,061.11	$2,744.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,685.90 / $2,343.10	Professional		$12.00	$1,685.90	$2,343.10
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 $1,016.78 / $1,821.37 / $2,878.21	Professional		$1,016.78	$1,821.37	$2,878.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,745.20 / $1,745.20 / $2,053.19	Professional		$1,745.20	$1,745.20	$2,053.19