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 $825.07 / $1,311.68 / $1,311.68	Professional		$825.07	$1,311.68	$1,311.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,963.60 / $2,222.55 / $2,516.48	Professional		$1,963.60	$2,222.55	$2,516.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.89 / $1,403.12 / $2,391.77	Professional		$831.89	$1,403.12	$2,391.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,459.79 / $2,222.55 / $6,608.00	Facility		$1,459.79	$2,222.55	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,118.33 / $2,107.96 / $6,690.08	Professional		$1,118.33	$2,107.96	$6,690.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,397.66 / $1,964.40 / $2,740.57	Facility		$1,397.66	$1,964.40	$2,740.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,397.66 / $1,963.60 / $2,740.57	Professional		$1,397.66	$1,963.60	$2,740.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,548.10 / $2,228.60	Professional		$7.00	$1,548.10	$2,228.60
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 $1,001.72 / $1,794.38 / $2,835.56	Professional		$1,001.72	$1,794.38	$2,835.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,731.40 / $1,731.40 / $2,037.00	Professional		$1,731.40	$1,731.40	$2,037.00