Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,606.93 / $11,481.54	Facility		$1,513.56	$6,606.93	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $5,495.41	Professional		$954.99	$1,513.56	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $2,951.21	Professional		$2,238.72	$2,398.83	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $3,981.07	Professional		$1,000.00	$1,737.80	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,570.88 / $16,218.10	Facility		$1,621.81	$4,570.88	$16,218.10
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility	52	$12,589.25	$12,589.25	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $7,585.78	Professional		$1,096.48	$1,905.46	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $3,235.94	Professional		$2,137.96	$2,238.72	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $2,818.38	Professional		$1,905.46	$2,754.23	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,995.26 / $2,691.53	Professional		$5.01	$1,995.26	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,715.19 / $15,488.17	Facility		$7,413.10	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,951.21	Professional		$1,047.13	$1,513.56	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,238.72	Professional		$1,905.46	$1,905.46	$2,238.72