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 $857.61 / $1,462.51 / $5,469.53	Professional		$857.61	$1,462.51	$5,469.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,064.62 / $2,356.21 / $2,580.77	Professional		$2,064.62	$2,356.21	$2,580.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $904.30 / $1,639.44 / $2,764.89	Professional		$904.30	$1,639.44	$2,764.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,602.72 / $2,356.21 / $7,305.00	Facility		$1,602.72	$2,356.21	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,108.61 / $2,235.71 / $3,926.36	Professional		$1,108.61	$2,235.71	$3,926.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,477.12 / $2,197.69 / $2,874.44	Facility		$1,477.12	$2,197.69	$2,874.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,477.12 / $2,131.00 / $2,874.44	Professional		$1,477.12	$2,131.00	$2,874.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.27 / $1,591.85 / $1,957.09	Professional		$977.27	$1,591.85	$1,957.09
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 $1,072.00 / $2,140.36 / $3,123.94	Professional		$1,072.00	$2,140.36	$3,123.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,543.42 / $1,953.70 / $2,298.50	Professional		$1,543.42	$1,953.70	$2,298.50