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 $847.02 / $1,124.96 / $1,188.08	Professional		$847.02	$1,124.96	$1,188.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,669.39 / $1,906.05 / $2,161.03	Professional		$1,669.39	$1,906.05	$2,161.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $713.18 / $1,192.33 / $2,075.57	Professional		$713.18	$1,192.33	$2,075.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,430.36 / $2,015.89 / $7,549.50	Facility		$1,430.36	$2,015.89	$7,549.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $970.49 / $1,806.87 / $9,677.00	Professional		$970.49	$1,806.87	$9,677.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,223.61 / $1,684.85 / $2,351.59	Facility		$1,223.61	$1,684.85	$2,351.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,223.61 / $1,684.85 / $2,351.59	Professional		$1,223.61	$1,684.85	$2,351.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,372.90 / $1,914.50	Professional		$6.00	$1,372.90	$1,914.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,739.00 / $6,338.00 / $10,320.00	Facility		$3,739.00	$6,338.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $858.64 / $1,396.22 / $2,430.54	Professional		$858.64	$1,396.22	$2,430.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,485.70 / $1,485.70 / $1,747.80	Professional		$1,485.70	$1,485.70	$1,747.80