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 $759.16 / $779.62 / $779.62	Professional		$759.16	$779.62	$779.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.89 / $2,060.96 / $2,370.71	Professional		$1,830.89	$2,060.96	$2,370.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $799.05 / $1,383.93 / $2,390.39	Professional		$799.05	$1,383.93	$2,390.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,317.56 / $2,060.96 / $6,608.00	Facility		$1,317.56	$2,060.96	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,044.33 / $1,974.45 / $11,002.00	Professional		$1,044.33	$1,974.45	$11,002.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,300.81 / $1,943.42 / $2,541.88	Facility		$1,300.81	$1,943.42	$2,541.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,424.00 / $1,884.98 / $2,541.88	Professional		$1,424.00	$1,884.98	$2,541.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,633.10 / $2,147.80	Professional		$12.00	$1,633.10	$2,147.80
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 $938.27 / $1,525.71 / $2,655.97	Professional		$938.27	$1,525.71	$2,655.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,662.10 / $1,662.10 / $1,955.40	Professional		$1,662.10	$1,662.10	$1,955.40