Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.85 / $1,480.14 / $1,480.14	Professional		$825.85	$1,480.14	$1,480.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,857.34 / $2,224.58 / $2,521.36	Professional		$1,857.34	$2,224.58	$2,521.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $833.11 / $1,334.59 / $2,565.54	Professional		$833.11	$1,334.59	$2,565.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.02 / $2,279.42 / $31,618.12	Facility		$1,148.02	$2,279.42	$31,618.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,129.17 / $2,106.88 / $6,696.32	Professional		$1,129.17	$2,106.88	$6,696.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,398.25 / $1,967.24 / $2,742.64	Facility		$1,398.25	$1,967.24	$2,742.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,398.25 / $1,967.24 / $2,738.83	Professional		$1,398.25	$1,967.24	$2,738.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,550.40 / $2,231.19	Professional		$3.00	$1,550.40	$2,231.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.27 / $1,795.37 / $2,837.12	Professional		$1,002.27	$1,795.37	$2,837.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,704.10 / $1,704.10 / $2,004.80	Professional		$1,704.10	$1,704.10	$2,004.80