Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.10 / $1,398.71 / $1,476.41	Professional		$854.10	$1,398.71	$1,476.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.00 / $2,110.58 / $2,638.23	Professional		$1,737.00	$2,110.58	$2,638.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $869.65 / $1,387.97 / $2,788.59	Professional		$869.65	$1,387.97	$2,788.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,361.87 / $2,292.38 / $20,232.05	Facility		$1,361.87	$2,292.38	$20,232.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $973.53 / $1,858.56 / $6,937.60	Professional		$973.53	$1,858.56	$6,937.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,719.63 / $2,300.34 / $20,232.05	Facility		$1,719.63	$2,300.34	$20,232.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,421.03 / $2,087.33 / $2,769.22	Professional		$1,421.03	$2,087.33	$2,769.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $925.31 / $1,699.91 / $22,092.51	Professional		$925.31	$1,699.91	$22,092.51
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $929.28 / $1,416.05 / $2,655.09	Professional		$929.28	$1,416.05	$2,655.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,454.00 / $1,840.50 / $2,165.30	Professional		$1,454.00	$1,840.50	$2,165.30