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 $747.51 / $1,183.75 / $1,183.75	Professional		$747.51	$1,183.75	$1,183.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,741.57 / $2,083.10 / $2,367.16	Professional		$1,741.57	$2,083.10	$2,367.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $810.93 / $1,341.93 / $2,066.44	Professional		$810.93	$1,341.93	$2,066.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,420.40 / $2,055.46 / $6,608.00	Facility		$1,420.40	$2,055.46	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $940.53 / $1,912.15 / $6,214.64	Professional		$940.53	$1,912.15	$6,214.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,217.07 / $1,865.60 / $2,440.08	Facility		$1,217.07	$1,865.60	$2,440.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,217.07 / $1,865.60 / $2,440.08	Professional		$1,217.07	$1,865.60	$2,440.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $1,560.80 / $2,201.19	Professional		$9.00	$1,560.80	$2,201.19
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 $900.06 / $1,612.28 / $2,547.79	Professional		$900.06	$1,612.28	$2,547.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,718.60 / $1,718.60 / $2,021.90	Professional		$1,718.60	$1,718.60	$2,021.90