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 $774.33 / $1,230.70 / $1,230.70	Professional		$774.33	$1,230.70	$1,230.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,821.25 / $2,085.65 / $2,363.59	Professional		$1,821.25	$2,085.65	$2,363.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $780.21 / $1,300.53 / $2,260.46	Professional		$780.21	$1,300.53	$2,260.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,491.30 / $2,085.65 / $6,608.00	Facility		$1,491.30	$2,085.65	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,056.94 / $1,976.15 / $6,353.45	Professional		$1,056.94	$1,976.15	$6,353.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,322.94 / $1,842.77 / $2,571.62	Facility		$1,322.94	$1,842.77	$2,571.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,322.94 / $1,842.77 / $2,571.62	Professional		$1,322.94	$1,842.77	$2,571.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,470.50 / $2,092.90	Professional		$6.00	$1,470.50	$2,092.90
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 $979.91 / $1,959.73 / $2,664.73	Professional		$979.91	$1,959.73	$2,664.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,624.90 / $1,624.90 / $1,911.70	Professional		$1,624.90	$1,624.90	$1,911.70