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 $797.99 / $1,022.87 / $1,631.31	Professional		$797.99	$1,022.87	$1,631.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,535.65 / $1,735.85 / $1,973.07	Professional		$1,535.65	$1,735.85	$1,973.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $648.73 / $1,108.83 / $1,915.82	Professional		$648.73	$1,108.83	$1,915.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,042.22 / $1,735.85 / $5,847.00	Facility		$1,042.22	$1,735.85	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $898.80 / $1,701.57 / $5,648.44	Professional		$898.80	$1,701.57	$5,648.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,085.89 / $1,617.09 / $2,208.81	Facility		$1,085.89	$1,617.09	$2,208.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,111.00 / $1,535.65 / $2,208.81	Professional		$1,111.00	$1,535.65	$2,208.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,208.40 / $1,833.40	Professional		$6.00	$1,208.40	$1,833.40
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 $832.71 / $1,314.85 / $2,288.90	Professional		$832.71	$1,314.85	$2,288.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,354.10 / $1,354.10 / $1,593.10	Professional		$1,354.10	$1,354.10	$1,593.10