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 $739.91 / $1,257.02 / $4,716.06	Professional		$739.91	$1,257.02	$4,716.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,795.05 / $2,028.06 / $2,243.81	Professional		$1,795.05	$2,028.06	$2,243.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $769.06 / $1,324.88 / $2,381.11	Professional		$769.06	$1,324.88	$2,381.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,292.08 / $2,114.67 / $7,305.00	Facility		$1,292.08	$2,114.67	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $941.08 / $1,897.84 / $3,332.98	Professional		$941.08	$1,897.84	$3,332.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,249.47 / $1,876.10 / $2,453.82	Facility		$1,249.47	$1,876.10	$2,453.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,249.47 / $1,822.41 / $2,453.82	Professional		$1,249.47	$1,822.41	$2,453.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $825.86 / $1,369.53 / $1,650.67	Professional		$825.86	$1,369.53	$1,650.67
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 $901.86 / $1,547.02 / $2,585.31	Professional		$901.86	$1,547.02	$2,585.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,319.93 / $1,670.80 / $1,965.60	Professional		$1,319.93	$1,670.80	$1,965.60