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 $749.66 / $1,176.75 / $1,176.75	Professional		$749.66	$1,176.75	$1,176.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,598.41 / $1,928.19 / $2,226.28	Professional		$1,598.41	$1,928.19	$2,226.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $1,116.08 / $1,896.22	Professional		$699.20	$1,116.08	$1,896.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,042.22 / $1,928.19 / $5,244.00	Facility		$1,042.22	$1,928.19	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $872.46 / $1,759.46 / $5,815.36	Professional		$872.46	$1,759.46	$5,815.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,058.38 / $1,392.00 / $2,166.59	Facility		$1,058.38	$1,392.00	$2,166.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.00 / $1,702.31 / $2,243.39	Professional		$1,096.00	$1,702.31	$2,243.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,381.50 / $2,120.50	Professional		$5.00	$1,381.50	$2,120.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.12 / $1,583.68 / $2,366.77	Professional		$823.12	$1,583.68	$2,366.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,441.40 / $1,441.40 / $1,695.80	Professional		$1,441.40	$1,441.40	$1,695.80