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 $900.85 / $1,432.11 / $1,432.11	Professional		$900.85	$1,432.11	$1,432.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,143.35 / $2,426.69 / $2,745.35	Professional		$2,143.35	$2,426.69	$2,745.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $908.83 / $1,551.26 / $2,683.45	Professional		$908.83	$1,551.26	$2,683.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,450.79 / $2,388.04 / $6,608.00	Facility		$1,450.79	$2,388.04	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,254.72 / $2,305.27 / $7,304.24	Professional		$1,254.72	$2,305.27	$7,304.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,582.25 / $2,169.81 / $2,995.03	Facility		$1,582.25	$2,169.81	$2,995.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,582.25 / $2,143.35 / $2,995.03	Professional		$1,582.25	$2,143.35	$2,995.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,822.50 / $2,433.19	Professional		$7.00	$1,822.50	$2,433.19
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 $1,143.10 / $2,134.84 / $3,100.97	Professional		$1,143.10	$2,134.84	$3,100.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,890.00 / $1,890.00 / $2,223.50	Professional		$1,890.00	$1,890.00	$2,223.50