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 $165.90 / $2,398.23 / $3,757.01	Professional		$165.90	$2,398.23	$3,757.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.64 / $3,677.13 / $7,144.84	Professional		$378.64	$3,677.13	$7,144.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.45 / $3,083.30 / $4,742.22	Professional		$213.45	$3,083.30	$4,742.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.32 / $6,252.54 / $13,238.00	Facility		$416.32	$6,252.54	$13,238.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $453.98 / $5,461.84 / $15,258.59	Professional		$453.98	$5,461.84	$15,258.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $370.44 / $6,252.54 / $8,152.06	Facility		$370.44	$6,252.54	$8,152.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $370.44 / $4,860.77 / $8,075.48	Professional		$370.44	$4,860.77	$8,075.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $7,381.80	Professional		$5.00	$5.00	$7,381.80
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 $3,358.89 / $5,982.50 / $9,507.98	Professional		$3,358.89	$5,982.50	$9,507.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $313.70 / $369.00 / $5,171.39	Professional		$313.70	$369.00	$5,171.39