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 $704.61 / $1,201.16 / $4,484.99	Professional		$704.61	$1,201.16	$4,484.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,702.33 / $1,914.22 / $2,138.96	Professional		$1,702.33	$1,914.22	$2,138.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $742.38 / $1,169.13 / $2,739.20	Professional		$742.38	$1,169.13	$2,739.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,201.16 / $1,966.00 / $7,305.00	Facility		$1,201.16	$1,966.00	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $906.17 / $1,808.98 / $3,687.16	Professional		$906.17	$1,808.98	$3,687.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,198.90 / $1,751.81 / $2,362.38	Facility		$1,198.90	$1,751.81	$2,362.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,198.90 / $1,751.81 / $2,362.38	Professional		$1,198.90	$1,751.81	$2,362.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $801.71 / $1,309.16 / $1,605.30	Professional		$801.71	$1,309.16	$1,605.30
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 $868.41 / $1,555.59 / $2,458.21	Professional		$868.41	$1,555.59	$2,458.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,268.82 / $1,606.10 / $1,889.50	Professional		$1,268.82	$1,606.10	$1,889.50