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 $603.80 / $1,044.33 / $1,044.33	Professional		$603.80	$1,044.33	$1,044.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,420.54 / $1,633.15 / $1,858.14	Professional		$1,420.54	$1,633.15	$1,858.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $627.52 / $1,052.84 / $1,774.48	Professional		$627.52	$1,052.84	$1,774.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $915.04 / $1,633.15 / $6,296.08	Facility		$915.04	$1,633.15	$6,296.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $790.20 / $1,538.97 / $9,351.00	Professional		$790.20	$1,538.97	$9,351.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,001.95 / $1,497.58 / $1,971.78	Facility		$1,001.95	$1,497.58	$1,971.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,032.00 / $1,453.21 / $1,971.78	Professional		$1,032.00	$1,453.21	$1,971.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,200.30 / $1,721.10	Professional		$6.00	$1,200.30	$1,721.10
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 $731.33 / $1,276.89 / $2,070.17	Professional		$731.33	$1,276.89	$2,070.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,293.70 / $1,293.70 / $1,522.00	Professional		$1,293.70	$1,293.70	$1,522.00