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 $809.38 / $1,286.59 / $1,286.59	Professional		$809.38	$1,286.59	$1,286.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.15 / $2,180.11 / $2,469.75	Professional		$1,907.15	$2,180.11	$2,469.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $816.31 / $1,367.29 / $2,378.09	Professional		$816.31	$1,367.29	$2,378.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,592.60 / $2,180.11 / $6,608.00	Facility		$1,592.60	$2,180.11	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,111.94 / $2,066.90 / $6,562.40	Professional		$1,111.94	$2,066.90	$6,562.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,415.35 / $1,927.22 / $2,686.36	Facility		$1,415.35	$1,927.22	$2,686.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,415.35 / $1,927.22 / $2,686.36	Professional		$1,415.35	$1,927.22	$2,686.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,519.10 / $2,185.30	Professional		$6.00	$1,519.10	$2,185.30
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 $982.20 / $1,914.09 / $2,780.32	Professional		$982.20	$1,914.09	$2,780.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,699.40 / $1,699.40 / $1,999.20	Professional		$1,699.40	$1,699.40	$1,999.20