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 $853.14 / $1,369.86 / $1,369.86	Professional		$853.14	$1,369.86	$1,369.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.08 / $2,317.94 / $2,634.33	Professional		$1,811.08	$2,317.94	$2,634.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $890.06 / $1,398.62 / $2,196.17	Professional		$890.06	$1,398.62	$2,196.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,090.61 / $2,129.54 / $6,608.00	Facility		$1,090.61	$2,129.54	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,068.56 / $2,154.94 / $7,427.52	Professional		$1,068.56	$2,154.94	$7,427.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,408.69 / $2,123.07 / $2,776.84	Facility		$1,408.69	$2,123.07	$2,776.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,398.00 / $2,123.07 / $2,602.85	Professional		$1,398.00	$2,123.07	$2,602.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,702.20 / $2,437.90	Professional		$7.00	$1,702.20	$2,437.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.04 / $1,990.49 / $2,898.75	Professional		$1,024.04	$1,990.49	$2,898.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,877.80 / $1,877.80 / $2,209.10	Professional		$1,877.80	$1,877.80	$2,209.10