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 / $11,100.08	Facility		$4,393.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.03 / $1,608.87 / $3,642.61	Professional		$744.03	$1,608.87	$3,642.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.19 / $3,399.55 / $4,667.53	Professional		$1,518.19	$3,399.55	$4,667.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $641.80 / $2,062.67 / $5,041.52	Professional		$641.80	$2,062.67	$5,041.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.22 / $3,994.84 / $11,732.00	Facility		$1,584.22	$3,994.84	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,618.20 / $3,831.84 / $16,950.43	Professional		$1,618.20	$3,831.84	$16,950.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,626.05 / $3,948.39 / $5,039.32	Facility		$1,626.05	$3,948.39	$5,039.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,391.86 / $2,988.42 / $5,030.95	Professional		$1,391.86	$2,988.42	$5,030.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $3,425.80 / $4,411.60	Professional		$5.00	$3,425.80	$4,411.60
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 $1,819.13 / $3,674.92 / $5,235.92	Professional		$1,819.13	$3,674.92	$5,235.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,338.70 / $1,574.90 / $3,526.60	Professional		$1,338.70	$1,574.90	$3,526.60