Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.38 / $1,095.36 / $1,095.36	Professional		$612.38	$1,095.36	$1,095.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,455.25 / $1,654.17 / $1,898.08	Professional		$1,455.25	$1,654.17	$1,898.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $614.90 / $1,097.17 / $1,759.64	Professional		$614.90	$1,097.17	$1,759.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,246.96 / $1,818.06 / $45,147.00	Facility		$1,246.96	$1,818.06	$45,147.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $822.77 / $1,538.08 / $12,100.00	Professional		$822.77	$1,538.08	$12,100.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,116.00 / $2,007.81 / $32,433.41	Facility		$1,116.00	$2,007.81	$32,433.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $1,467.25 / $2,007.81	Professional		$1,021.00	$1,467.25	$2,007.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,174.50 / $1,669.60	Professional		$3.00	$1,174.50	$1,669.60
United Facility/Professional Facility Modifier Low / Median / High Price $9,780.00 / $15,597.42 / $19,751.04	Facility		$9,780.00	$15,597.42	$19,751.04
United Facility/Professional Professional Modifier Low / Median / High Price $730.91 / $1,348.93 / $2,068.96	Professional		$730.91	$1,348.93	$2,068.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,271.00 / $1,271.00 / $1,495.30	Professional		$1,271.00	$1,271.00	$1,495.30