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 $844.06 / $1,441.68 / $5,304.15	Professional		$844.06	$1,441.68	$5,304.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,997.61 / $2,280.02 / $2,566.96	Professional		$1,997.61	$2,280.02	$2,566.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $890.56 / $1,397.37 / $2,954.24	Professional		$890.56	$1,397.37	$2,954.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,166.34 / $2,280.02 / $7,305.00	Facility		$1,166.34	$2,280.02	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.59 / $2,202.85 / $3,610.25	Professional		$1,174.59	$2,202.85	$3,610.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,471.87 / $2,202.85 / $2,839.99	Facility		$1,471.87	$2,202.85	$2,839.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,471.87 / $2,077.85 / $2,839.99	Professional		$1,471.87	$2,077.85	$2,839.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $962.30 / $1,557.51 / $1,918.70	Professional		$962.30	$1,557.51	$1,918.70
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 $1,059.24 / $2,114.94 / $3,048.77	Professional		$1,059.24	$2,114.94	$3,048.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,504.95 / $1,905.00 / $2,241.19	Professional		$1,504.95	$1,905.00	$2,241.19