Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,843.07 / $3,843.07 / $78,074.89	Professional		$3,843.07	$3,843.07	$78,074.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.43 / $19,742.39 / $24,677.99	Professional		$1,430.43	$19,742.39	$24,677.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.85 / $9,673.62 / $13,468.66	Professional		$630.85	$9,673.62	$13,468.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,629.88 / $16,293.00 / $33,239.54	Facility		$1,629.88	$16,293.00	$33,239.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,811.09 / $21,483.98 / $38,198.91	Professional		$1,811.09	$21,483.98	$38,198.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,597.34 / $19,087.07 / $27,497.93	Facility		$1,597.34	$19,087.07	$27,497.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,469.43 / $18,158.50 / $28,246.58	Professional		$1,469.43	$18,158.50	$28,246.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $713.16 / $7,441.25 / $23,532.68	Professional		$713.16	$7,441.25	$23,532.68
United Facility/Professional Professional Modifier Low / Median / High Price $12,490.47 / $21,083.66 / $34,316.82	Professional		$12,490.47	$21,083.66	$34,316.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,347.20 / $1,584.90 / $19,585.80	Professional		$1,347.20	$1,584.90	$19,585.80