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 $844.16 / $844.16 / $1,380.11	Professional		$844.16	$844.16	$1,380.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,993.03 / $2,228.87 / $2,498.96	Professional		$1,993.03	$2,228.87	$2,498.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $865.71 / $1,462.64 / $2,363.57	Professional		$865.71	$1,462.64	$2,363.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,426.63 / $2,228.87 / $6,608.00	Facility		$1,426.63	$2,228.87	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,084.53 / $2,110.40 / $12,818.24	Professional		$1,084.53	$2,110.40	$12,818.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,405.95 / $2,048.73 / $2,755.94	Facility		$1,405.95	$2,048.73	$2,755.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,407.00 / $2,048.73 / $2,755.94	Professional		$1,407.00	$2,048.73	$2,755.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,664.40 / $2,351.80	Professional		$7.00	$1,664.40	$2,351.80
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 $1,016.21 / $1,820.34 / $2,876.58	Professional		$1,016.21	$1,820.34	$2,876.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,806.50 / $1,806.50 / $2,125.30	Professional		$1,806.50	$1,806.50	$2,125.30