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 $765.74 / $1,011.98 / $1,011.98	Professional		$765.74	$1,011.98	$1,011.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,825.31 / $2,054.03 / $2,303.21	Professional		$1,825.31	$2,054.03	$2,303.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $770.31 / $1,307.32 / $2,189.21	Professional		$770.31	$1,307.32	$2,189.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,136.77 / $1,883.44 / $6,608.00	Facility		$1,136.77	$1,883.44	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $985.75 / $1,928.79 / $6,188.48	Professional		$985.75	$1,928.79	$6,188.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,260.88 / $1,847.39 / $2,463.42	Facility		$1,260.88	$1,847.39	$2,463.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,260.88 / $1,825.31 / $2,463.42	Professional		$1,260.88	$1,825.31	$2,463.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,471.00 / $2,114.00	Professional		$6.00	$1,471.00	$2,114.00
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 $956.42 / $1,482.51 / $2,594.54	Professional		$956.42	$1,482.51	$2,594.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,581.20 / $1,581.20 / $1,860.20	Professional		$1,581.20	$1,581.20	$1,860.20