Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.05 / $1,158.69 / $1,158.69	Professional		$729.05	$1,158.69	$1,158.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,736.53 / $1,963.77 / $2,226.28	Professional		$1,736.53	$1,963.77	$2,226.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $735.32 / $1,263.15 / $2,644.91	Professional		$735.32	$1,263.15	$2,644.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,101.86 / $2,100.53 / $45,147.00	Facility		$1,101.86	$2,100.53	$45,147.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,007.52 / $1,862.09 / $7,091.49	Professional		$1,007.52	$1,862.09	$7,091.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $2,420.42 / $30,821.76	Facility		$1,369.00	$2,420.42	$30,821.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,233.18 / $1,736.53 / $2,420.42	Professional		$1,233.18	$1,736.53	$2,420.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,368.00 / $1,969.70	Professional		$3.00	$1,368.00	$1,969.70
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.60 / $1,774.18 / $2,504.82	Professional		$913.60	$1,774.18	$2,504.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,531.20 / $1,531.20 / $1,801.40	Professional		$1,531.20	$1,531.20	$1,801.40