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 $806.37 / $961.15 / $1,212.26	Professional		$806.37	$961.15	$1,212.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,734.35 / $1,950.32 / $2,188.30	Professional		$1,734.35	$1,950.32	$2,188.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $731.49 / $1,227.09 / $2,057.16	Professional		$731.49	$1,227.09	$2,057.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,065.84 / $1,782.20 / $6,491.10	Facility		$1,065.84	$1,782.20	$6,491.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $930.41 / $1,829.47 / $5,876.16	Professional		$930.41	$1,829.47	$5,876.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,244.73 / $1,736.60 / $2,330.98	Facility		$1,244.73	$1,736.60	$2,330.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,231.00 / $1,734.35 / $2,330.98	Professional		$1,231.00	$1,734.35	$2,330.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,395.70 / $2,008.40	Professional		$6.00	$1,395.70	$2,008.40
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 $869.38 / $1,656.64 / $2,460.94	Professional		$869.38	$1,656.64	$2,460.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,502.40 / $1,502.40 / $1,767.50	Professional		$1,502.40	$1,502.40	$1,767.50