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 $647.79 / $1,024.29 / $1,024.29	Professional		$647.79	$1,024.29	$1,024.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,451.53 / $1,798.79 / $2,044.08	Professional		$1,451.53	$1,798.79	$2,044.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $700.36 / $1,155.96 / $1,738.37	Professional		$700.36	$1,155.96	$1,738.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $979.19 / $1,714.52 / $6,608.00	Facility		$979.19	$1,714.52	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $810.13 / $1,673.68 / $5,389.60	Professional		$810.13	$1,673.68	$5,389.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,077.32 / $1,610.61 / $2,106.57	Facility		$1,077.32	$1,610.61	$2,106.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,050.16 / $1,610.61 / $2,106.57	Professional		$1,050.16	$1,610.61	$2,106.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $1,352.50 / $1,908.30	Professional		$9.00	$1,352.50	$1,908.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.38 / $1,417.61 / $2,197.69	Professional		$776.38	$1,417.61	$2,197.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,487.60 / $1,487.60 / $1,750.10	Professional		$1,487.60	$1,487.60	$1,750.10