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 $981.77 / $1,297.83 / $1,328.49	Professional		$981.77	$1,297.83	$1,328.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,340.59 / $2,633.13 / $2,947.92	Professional		$2,340.59	$2,633.13	$2,947.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $988.95 / $1,691.57 / $2,832.98	Professional		$988.95	$1,691.57	$2,832.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,920.33 / $2,837.35 / $7,799.00	Facility		$1,920.33	$2,837.35	$7,799.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,267.07 / $2,476.98 / $7,932.80	Professional		$1,267.07	$2,476.98	$7,932.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,601.71 / $2,388.91 / $3,157.03	Facility		$1,601.71	$2,388.91	$3,157.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,601.71 / $2,340.59 / $3,157.03	Professional		$1,601.71	$2,340.59	$3,157.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $978.10 / $1,788.68 / $2,088.90	Professional		$978.10	$1,788.68	$2,088.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.08 / $2,172.38 / $3,331.96	Professional		$1,177.08	$2,172.38	$3,331.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,027.50 / $2,027.50 / $2,385.30	Professional		$2,027.50	$2,027.50	$2,385.30