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 $801.61 / $1,268.59 / $1,268.59	Professional		$801.61	$1,268.59	$1,268.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.73 / $2,078.29 / $2,534.10	Professional		$1,807.73	$2,078.29	$2,534.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $868.98 / $1,423.05 / $2,160.33	Professional		$868.98	$1,423.05	$2,160.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,481.27 / $1,966.00 / $6,608.00	Facility		$1,481.27	$1,966.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,003.08 / $2,022.88 / $7,993.06	Professional		$1,003.08	$2,022.88	$7,993.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,099.53 / $1,821.25 / $2,611.57	Facility		$1,099.53	$1,821.25	$2,611.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,198.00 / $1,807.73 / $2,611.57	Professional		$1,198.00	$1,807.73	$2,611.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,664.00 / $2,361.30	Professional		$10.00	$1,664.00	$2,361.30
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 $977.37 / $1,754.58 / $2,721.11	Professional		$977.37	$1,754.58	$2,721.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,843.10 / $1,843.10 / $2,168.40	Professional		$1,843.10	$1,843.10	$2,168.40