Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.04 / $5,549.00 / $11,100.08	Facility		$968.04	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.58 / $1,403.76 / $1,403.76	Professional		$830.58	$1,403.76	$1,403.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,946.97 / $2,184.19 / $2,567.71	Professional		$1,946.97	$2,184.19	$2,567.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $877.76 / $1,412.67 / $2,308.89	Professional		$877.76	$1,412.67	$2,308.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,305.58 / $2,143.98 / $6,608.00	Facility		$1,305.58	$2,143.98	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,061.68 / $2,103.59 / $6,830.80	Professional		$1,061.68	$2,103.59	$6,830.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,372.67 / $1,981.03 / $2,695.89	Facility		$1,372.67	$1,981.03	$2,695.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,372.67 / $1,981.03 / $2,695.89	Professional		$1,372.67	$1,981.03	$2,695.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,481.60 / $2,378.69	Professional		$6.00	$1,481.60	$2,378.69
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 $1,005.49 / $1,635.02 / $2,846.24	Professional		$1,005.49	$1,635.02	$2,846.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,805.60 / $1,805.60 / $2,124.19	Professional		$1,805.60	$1,805.60	$2,124.19