Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.96 / $1,096.15 / $1,096.15	Professional		$692.96	$1,096.15	$1,096.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.15 / $1,825.39 / $2,114.28	Professional		$1,541.15	$1,825.39	$2,114.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $662.05 / $1,074.86 / $1,827.10	Professional		$662.05	$1,074.86	$1,827.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.15 / $1,899.50 / $14,396.24	Facility		$1,096.15	$1,899.50	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $804.34 / $1,622.08 / $5,518.40	Professional		$804.34	$1,622.08	$5,518.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,073.92 / $5,383.60	Facility		$1,121.00	$2,073.92	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,026.00 / $1,585.64 / $2,073.92	Professional		$1,026.00	$1,585.64	$2,073.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,279.90 / $1,967.70	Professional		$5.00	$1,279.90	$1,967.70
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 $770.82 / $1,547.00 / $2,181.96	Professional		$770.82	$1,547.00	$2,181.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,366.80 / $1,366.80 / $1,608.00	Professional		$1,366.80	$1,366.80	$1,608.00