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 $815.27 / $1,296.10 / $1,296.10	Professional		$815.27	$1,296.10	$1,296.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,928.31 / $2,194.46 / $2,486.30	Professional		$1,928.31	$2,194.46	$2,486.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $821.62 / $1,379.21 / $2,360.46	Professional		$821.62	$1,379.21	$2,360.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,347.24 / $2,192.77 / $6,608.00	Facility		$1,347.24	$2,192.77	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,103.69 / $2,081.30 / $6,605.44	Professional		$1,103.69	$2,081.30	$6,605.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,378.00 / $1,939.57 / $2,706.15	Facility		$1,378.00	$1,939.57	$2,706.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,378.00 / $1,939.57 / $2,706.15	Professional		$1,378.00	$1,939.57	$2,706.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,529.80 / $2,201.10	Professional		$6.00	$1,529.80	$2,201.10
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 $989.05 / $1,927.20 / $2,799.69	Professional		$989.05	$1,927.20	$2,799.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,710.30 / $1,710.30 / $2,012.10	Professional		$1,710.30	$1,710.30	$2,012.10