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 $639.38 / $1,092.05 / $4,017.61	Professional		$639.38	$1,092.05	$4,017.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.79 / $1,727.04 / $1,944.05	Professional		$1,513.79	$1,727.04	$1,944.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $674.68 / $1,058.45 / $2,257.92	Professional		$674.68	$1,058.45	$2,257.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $883.38 / $1,938.40 / $7,305.00	Facility		$883.38	$1,938.40	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $889.71 / $1,668.50 / $2,734.61	Professional		$889.71	$1,668.50	$2,734.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,114.04 / $1,668.50 / $2,152.12	Facility		$1,114.04	$1,668.50	$2,152.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,114.04 / $1,574.21 / $2,152.12	Professional		$1,114.04	$1,574.21	$2,152.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $728.96 / $1,180.13 / $1,453.33	Professional		$728.96	$1,180.13	$1,453.33
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 $837.24 / $1,437.26 / $2,309.39	Professional		$837.24	$1,437.26	$2,309.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,140.21 / $1,443.30 / $1,698.00	Professional		$1,140.21	$1,443.30	$1,698.00