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 $946.62 / $1,505.29 / $1,505.29	Professional		$946.62	$1,505.29	$1,505.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.30 / $2,548.14 / $2,882.67	Professional		$2,233.30	$2,548.14	$2,882.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $955.22 / $1,614.16 / $2,798.45	Professional		$955.22	$1,614.16	$2,798.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,619.61 / $2,543.94 / $6,608.00	Facility		$1,619.61	$2,543.94	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,308.48 / $2,424.71 / $7,669.52	Professional		$1,308.48	$2,424.71	$7,669.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,607.38 / $2,251.80 / $3,144.16	Facility		$1,607.38	$2,251.80	$3,144.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,607.38 / $2,251.80 / $3,144.16	Professional		$1,607.38	$2,251.80	$3,144.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,776.20 / $2,553.30	Professional		$7.00	$1,776.20	$2,553.30
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 $1,187.59 / $2,354.58 / $3,261.65	Professional		$1,187.59	$2,354.58	$3,261.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,985.60 / $1,985.60 / $2,336.00	Professional		$1,985.60	$1,985.60	$2,336.00