Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $6,066.00 / $11,100.08	Facility		$4,693.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.00 / $1,608.22 / $3,438.16	Professional		$858.00	$1,608.22	$3,438.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,392.00 / $1,392.00	Facility		$1,392.00	$1,392.00	$1,392.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.59 / $2,160.44 / $2,700.56	Professional		$901.59	$2,160.44	$2,700.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $883.88 / $1,423.01 / $4,336.39	Professional		$883.88	$1,423.01	$4,336.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,366.99 / $2,176.17 / $7,909.30	Facility		$1,366.99	$2,176.17	$7,909.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,074.43 / $2,120.81 / $9,072.81	Professional		$1,074.43	$2,120.81	$9,072.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,587.00 / $2,245.06 / $2,927.79	Facility		$1,587.00	$2,245.06	$2,927.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,397.88 / $2,120.81 / $2,927.79	Professional		$1,397.88	$2,120.81	$2,927.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,619.20 / $2,465.69	Professional		$6.00	$1,619.20	$2,465.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $7,487.00 / $11,732.00	Facility		$1,770.00	$7,487.00	$11,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.73 / $1,494.86 / $3,041.39	Professional		$1,024.73	$1,494.86	$3,041.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,477.38 / $1,870.10 / $2,200.10	Professional		$1,477.38	$1,870.10	$2,200.10