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 $716.66 / $1,139.16 / $1,139.16	Professional		$716.66	$1,139.16	$1,139.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,706.69 / $1,929.43 / $2,188.30	Professional		$1,706.69	$1,929.43	$2,188.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $722.50 / $1,232.68 / $2,122.19	Professional		$722.50	$1,232.68	$2,122.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,112.01 / $2,041.91 / $8,393.34	Facility		$1,112.01	$2,041.91	$8,393.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $992.29 / $1,830.49 / $9,677.00	Professional		$992.29	$1,830.49	$9,677.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,372.00 / $2,378.71 / $3,170.91	Facility		$1,372.00	$2,378.71	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,237.00 / $1,706.69 / $2,378.71	Professional		$1,237.00	$1,706.69	$2,378.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,343.30 / $1,936.30	Professional		$6.00	$1,343.30	$1,936.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $869.86 / $1,813.95 / $2,462.31	Professional		$869.86	$1,813.95	$2,462.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,504.90 / $1,504.90 / $1,770.50	Professional		$1,504.90	$1,504.90	$1,770.50