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 $862.92 / $1,362.10 / $1,362.10	Professional		$862.92	$1,362.10	$1,362.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.13 / $2,280.07 / $2,698.61	Professional		$2,029.13	$2,280.07	$2,698.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $680.23 / $1,374.32 / $2,600.26	Professional		$680.23	$1,374.32	$2,600.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,362.10 / $2,460.14 / $14,396.24	Facility		$1,362.10	$2,460.14	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,037.58 / $2,029.13 / $7,299.54	Professional		$1,037.58	$2,029.13	$7,299.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $2,618.10 / $5,383.60	Facility		$1,529.00	$2,618.10	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,316.78 / $2,029.13 / $2,618.10	Professional		$1,316.78	$2,029.13	$2,618.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,694.20 / $2,471.69	Professional		$6.00	$1,694.20	$2,471.69
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 $948.05 / $1,541.61 / $2,683.64	Professional		$948.05	$1,541.61	$2,683.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,727.30 / $1,727.30 / $2,032.20	Professional		$1,727.30	$1,727.30	$2,032.20