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 $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,049.03 / $2,561.29 / $3,351.77	Professional		$2,049.03	$2,561.29	$3,351.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,150.58 / $1,784.46 / $3,816.18	Professional		$1,150.58	$1,784.46	$3,816.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $950.04 / $2,950.00 / $7,305.00	Facility		$950.04	$2,950.00	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,107.20 / $1,900.70 / $3,371.18	Professional		$1,107.20	$1,900.70	$3,371.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,714.23 / $3,371.18 / $3,371.18	Facility		$2,714.23	$3,371.18	$3,371.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,855.14 / $2,641.11 / $3,371.18	Professional		$1,855.14	$2,641.11	$3,371.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $4,122.70	Professional		$7.00	$7.00	$4,122.70
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 $1,061.07 / $2,087.39 / $3,038.04	Professional		$1,061.07	$2,087.39	$3,038.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,409.10 / $2,409.10 / $2,834.30	Professional		$2,409.10	$2,409.10	$2,834.30