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 $749.55 / $990.58 / $990.58	Professional		$749.55	$990.58	$990.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,786.01 / $2,009.89 / $2,252.57	Professional		$1,786.01	$2,009.89	$2,252.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $753.74 / $1,270.89 / $2,126.28	Professional		$753.74	$1,270.89	$2,126.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,185.16 / $1,899.87 / $6,608.00	Facility		$1,185.16	$1,899.87	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $959.74 / $1,888.42 / $6,055.52	Professional		$959.74	$1,888.42	$6,055.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,225.63 / $1,793.86 / $2,409.17	Facility		$1,225.63	$1,793.86	$2,409.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,225.63 / $1,786.01 / $2,409.17	Professional		$1,225.63	$1,786.01	$2,409.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,438.50 / $2,068.19	Professional		$6.00	$1,438.50	$2,068.19
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 $897.39 / $1,709.39 / $2,540.23	Professional		$897.39	$1,709.39	$2,540.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,547.10 / $1,547.10 / $1,820.10	Professional		$1,547.10	$1,547.10	$1,820.10