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 $656.30 / $1,043.08 / $1,043.08	Professional		$656.30	$1,043.08	$1,043.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,531.19 / $1,768.08 / $2,006.18	Professional		$1,531.19	$1,768.08	$2,006.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $661.12 / $1,095.96 / $1,914.75	Professional		$661.12	$1,095.96	$1,914.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,286.46 / $1,869.58 / $5,836.81	Facility		$1,286.46	$1,869.58	$5,836.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $895.29 / $1,672.80 / $6,197.00	Professional		$895.29	$1,672.80	$6,197.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,110.53 / $1,563.30 / $2,178.48	Facility		$1,110.53	$1,563.30	$2,178.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,110.53 / $1,563.30 / $2,178.48	Professional		$1,110.53	$1,563.30	$2,178.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,231.70 / $1,775.60	Professional		$6.00	$1,231.70	$1,775.60
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 $813.60 / $1,423.95 / $2,250.19	Professional		$813.60	$1,423.95	$2,250.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,378.50 / $1,378.50 / $1,621.70	Professional		$1,378.50	$1,378.50	$1,621.70