Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $5,549.00 / $11,100.08	Facility		$880.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.02 / $1,331.54 / $3,451.00	Professional		$788.02	$1,331.54	$3,451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,898.67 / $2,146.63 / $2,434.41	Professional		$1,898.67	$2,146.63	$2,434.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $833.07 / $1,376.13 / $2,363.57	Professional		$833.07	$1,376.13	$2,363.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,277.45 / $2,050.57 / $6,608.00	Facility		$1,277.45	$2,050.57	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,016.47 / $2,005.94 / $6,480.56	Professional		$1,016.47	$2,005.94	$6,480.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,299.65 / $1,978.88 / $2,553.51	Facility		$1,299.65	$1,978.88	$2,553.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,299.65 / $1,978.88 / $2,553.51	Professional		$1,299.65	$1,978.88	$2,553.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,647.90 / $2,259.00	Professional		$6.00	$1,647.90	$2,259.00
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 $970.27 / $1,706.05 / $2,698.32	Professional		$970.27	$1,706.05	$2,698.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,714.20 / $1,714.20 / $2,016.70	Professional		$1,714.20	$1,714.20	$2,016.70