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 $743.83 / $1,221.74 / $1,285.33	Professional		$743.83	$1,221.74	$1,285.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,526.00 / $1,842.57 / $2,303.21	Professional		$1,526.00	$1,842.57	$2,303.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $757.31 / $1,301.48 / $2,489.34	Professional		$757.31	$1,301.48	$2,489.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,285.33 / $2,025.93 / $20,063.05	Facility		$1,285.33	$2,025.93	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $844.44 / $1,612.11 / $6,620.93	Professional		$844.44	$1,612.11	$6,620.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,500.09 / $2,006.01 / $17,260.66	Facility		$1,500.09	$2,006.01	$17,260.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,220.41 / $1,819.49 / $2,408.13	Professional		$1,220.41	$1,819.49	$2,408.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $779.36 / $1,458.77 / $20,213.63	Professional		$779.36	$1,458.77	$20,213.63
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $806.05 / $1,228.27 / $2,285.44	Professional		$806.05	$1,228.27	$2,285.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,267.48 / $1,604.40 / $1,887.50	Professional		$1,267.48	$1,604.40	$1,887.50