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 $849.48 / $1,350.53 / $1,350.53	Professional		$849.48	$1,350.53	$1,350.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,022.55 / $2,288.44 / $2,591.48	Professional		$2,022.55	$2,288.44	$2,591.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $857.10 / $1,493.76 / $2,521.67	Professional		$857.10	$1,493.76	$2,521.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,469.92 / $2,288.44 / $6,608.00	Facility		$1,469.92	$2,288.44	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,179.08 / $2,171.61 / $6,888.32	Professional		$1,179.08	$2,171.61	$6,888.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,437.77 / $2,054.03 / $2,821.89	Facility		$1,437.77	$2,054.03	$2,821.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,437.77 / $2,022.55 / $2,821.89	Professional		$1,437.77	$2,022.55	$2,821.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,594.20 / $2,294.19	Professional		$7.00	$1,594.20	$2,294.19
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 $1,076.83 / $2,150.53 / $2,921.18	Professional		$1,076.83	$2,150.53	$2,921.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,783.40 / $1,783.40 / $2,098.10	Professional		$1,783.40	$1,783.40	$2,098.10