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 $825.00 / $825.00 / $825.00	Professional		$825.00	$825.00	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,468.14 / $1,742.07 / $2,177.58	Professional		$1,468.14	$1,742.07	$2,177.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $935.29 / $1,186.58 / $4,867.00	Professional		$935.29	$1,186.58	$4,867.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $1,975.44 / $7,305.00	Facility		$990.00	$1,975.44	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,415.11 / $1,718.62 / $1,718.62	Professional		$1,415.11	$1,718.62	$1,718.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,616.74 / $1,718.62 / $1,718.62	Facility		$1,616.74	$1,718.62	$1,718.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,468.14 / $1,573.19 / $1,718.62	Professional		$1,468.14	$1,573.19	$1,718.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,812.20 / $1,812.20 / $1,812.20	Professional		$1,812.20	$1,812.20	$1,812.20