Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,011.87 / $10,232.93	Facility		$2,089.30	$5,011.87	$10,232.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility	52	$5,011.87	$5,011.87	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $3,548.13	Professional		$660.69	$1,174.90	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $2,089.30	Professional		$1,584.89	$1,698.24	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,445.44 / $2,951.21	Professional		$724.44	$1,445.44	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,265.80 / $13,803.84	Facility		$1,412.54	$4,265.80	$13,803.84
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility	52	$10,964.78	$10,964.78	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $5,370.32	Professional		$891.25	$1,584.89	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $2,398.83	Professional		$1,584.89	$1,698.24	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $1,949.84	Professional		$1,584.89	$1,949.84	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,905.46	Professional		$1,479.11	$1,737.80	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,000.00 / $14,125.38	Facility		$7,079.46	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,290.87	Professional		$776.25	$1,258.93	$2,290.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,659.59	Professional		$1,412.54	$1,412.54	$1,659.59