Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,019.83 / $5,129.74 / $12,765.09	Facility		$2,019.83	$5,129.74	$12,765.09
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $4,992.39 / $4,992.39 / $4,992.39	Facility	52	$4,992.39	$4,992.39	$4,992.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.87 / $1,063.07 / $3,663.00	Professional		$897.87	$1,063.07	$3,663.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.95 / $1,801.09 / $2,222.65	Professional		$1,590.95	$1,801.09	$2,222.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $674.33 / $1,193.08 / $2,239.11	Professional		$674.33	$1,193.08	$2,239.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,475.55 / $2,349.55 / $12,656.46	Facility		$1,475.55	$2,349.55	$12,656.46
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $10,845.40 / $10,845.40 / $10,845.40	Facility	52	$10,845.40	$10,845.40	$10,845.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $945.20 / $1,711.09 / $5,421.36	Professional		$945.20	$1,711.09	$5,421.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,351.20 / $2,220.19 / $4,818.76	Facility		$1,351.20	$2,220.19	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,280.00 / $1,595.92 / $2,220.19	Professional		$1,280.00	$1,595.92	$2,220.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,456.80 / $1,805.00	Professional		$5.00	$1,456.80	$1,805.00
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 $833.60 / $1,527.47 / $2,340.37	Professional		$833.60	$1,527.47	$2,340.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,402.90 / $1,402.90 / $1,650.40	Professional		$1,402.90	$1,402.90	$1,650.40