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 $596.95 / $948.22 / $948.22	Professional		$596.95	$948.22	$948.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,422.83 / $1,617.09 / $1,828.94	Professional		$1,422.83	$1,617.09	$1,828.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $600.66 / $1,027.34 / $1,917.88	Professional		$600.66	$1,027.34	$1,917.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.57 / $1,670.47 / $6,156.84	Facility		$1,000.57	$1,670.47	$6,156.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $804.45 / $1,520.92 / $4,839.68	Professional		$804.45	$1,520.92	$4,839.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,545.41 / $1,983.46	Facility		$1,200.00	$1,545.41	$1,983.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,098.00 / $1,422.83 / $1,983.46	Professional		$1,098.00	$1,422.83	$1,983.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,146.50 / $1,620.20	Professional		$3.00	$1,146.50	$1,620.20
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 $722.75 / $1,116.75 / $2,045.89	Professional		$722.75	$1,116.75	$2,045.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,254.59 / $1,254.59 / $1,476.00	Professional		$1,254.59	$1,254.59	$1,476.00