Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.99 / $1,214.08 / $1,344.63	Professional		$810.99	$1,214.08	$1,344.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,734.13 / $1,993.68 / $2,337.30	Professional		$1,734.13	$1,993.68	$2,337.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $752.75 / $1,274.05 / $2,161.36	Professional		$752.75	$1,274.05	$2,161.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,214.08 / $2,247.06 / $14,396.24	Facility		$1,214.08	$2,247.06	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $941.71 / $1,864.67 / $6,119.20	Professional		$941.71	$1,864.67	$6,119.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,333.00 / $2,438.87 / $5,383.60	Facility		$1,333.00	$2,438.87	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,222.27 / $1,734.13 / $2,438.87	Professional		$1,222.27	$1,734.13	$2,438.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,494.60 / $2,164.50	Professional		$5.00	$1,494.60	$2,164.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $868.16 / $1,616.61 / $2,554.63	Professional		$868.16	$1,616.61	$2,554.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,541.20 / $1,541.20 / $1,813.20	Professional		$1,541.20	$1,541.20	$1,813.20