Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,151.68 / $4,151.68 / $97,420.00	Professional		$4,151.68	$4,151.68	$97,420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,538.72 / $25,973.64 / $32,467.04	Professional		$1,538.72	$25,973.64	$32,467.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $674.67 / $12,672.10 / $17,643.46	Professional		$674.67	$12,672.10	$17,643.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $21,923.00 / $37,053.64	Facility		$1,721.98	$21,923.00	$37,053.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,916.78 / $27,275.26 / $46,676.04	Professional		$1,916.78	$27,275.26	$46,676.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $21,456.96 / $33,642.58	Facility		$1,721.98	$21,456.96	$33,642.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,572.03 / $22,002.50 / $36,776.28	Professional		$1,572.03	$22,002.50	$36,776.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.39 / $9,747.77 / $24,338.19	Professional		$758.39	$9,747.77	$24,338.19
United Facility/Professional Professional Modifier Low / Median / High Price $15,095.08 / $27,039.89 / $42,729.59	Professional		$15,095.08	$27,039.89	$42,729.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,441.30 / $1,695.60 / $25,715.00	Professional		$1,441.30	$1,695.60	$25,715.00