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 $852.19 / $1,350.80 / $1,350.80	Professional		$852.19	$1,350.80	$1,350.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,928.90 / $2,198.42 / $2,704.63	Professional		$1,928.90	$2,198.42	$2,704.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $927.64 / $1,533.22 / $2,252.13	Professional		$927.64	$1,533.22	$2,252.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,595.95 / $2,217.60 / $6,608.00	Facility		$1,595.95	$2,217.60	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,075.16 / $2,134.16 / $7,093.84	Professional		$1,075.16	$2,134.16	$7,093.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,247.03 / $1,971.88 / $2,791.34	Facility		$1,247.03	$1,971.88	$2,791.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,269.00 / $1,928.90 / $2,791.34	Professional		$1,269.00	$1,928.90	$2,791.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $1,334.10 / $2,510.19	Professional		$9.00	$1,334.10	$2,510.19
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 $1,030.36 / $1,884.20 / $2,916.65	Professional		$1,030.36	$1,884.20	$2,916.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,962.50 / $1,962.50 / $2,308.80	Professional		$1,962.50	$1,962.50	$2,308.80