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 $939.20 / $1,486.99 / $1,486.99	Professional		$939.20	$1,486.99	$1,486.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,057.73 / $2,365.71 / $2,850.53	Professional		$2,057.73	$2,365.71	$2,850.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $900.09 / $1,506.58 / $2,578.15	Professional		$900.09	$1,506.58	$2,578.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,479.39 / $14,396.24	Facility		$1,392.00	$2,479.39	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,119.16 / $2,217.59 / $7,476.88	Professional		$1,119.16	$2,217.59	$7,476.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,607.00 / $2,836.87 / $5,383.60	Facility		$1,607.00	$2,836.87	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,365.00 / $2,057.73 / $2,836.87	Professional		$1,365.00	$2,057.73	$2,836.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,548.90 / $2,657.70	Professional		$5.00	$1,548.90	$2,657.70
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 $1,057.99 / $2,117.23 / $2,983.03	Professional		$1,057.99	$2,117.23	$2,983.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,850.60 / $1,850.60 / $2,177.19	Professional		$1,850.60	$1,850.60	$2,177.19