Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,298.62 / $11,100.08	Facility		$4,964.00	$6,298.62	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.15 / $1,079.96 / $1,079.96	Professional		$714.15	$1,079.96	$1,079.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,435.95 / $1,624.12 / $1,930.75	Professional		$1,435.95	$1,624.12	$1,930.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $607.90 / $1,049.77 / $2,122.13	Professional		$607.90	$1,049.77	$2,122.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,079.96 / $1,825.13 / $14,525.55	Facility		$1,079.96	$1,825.13	$14,525.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $815.67 / $1,539.68 / $4,888.96	Professional		$815.67	$1,539.68	$4,888.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,142.00 / $2,002.25 / $5,275.65	Facility		$1,142.00	$2,002.25	$5,275.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,045.00 / $1,435.95 / $2,002.25	Professional		$1,045.00	$1,435.95	$2,002.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,310.59 / $1,629.70	Professional		$6.00	$1,310.59	$1,629.70
United Facility/Professional Facility Modifier Low / Median / High Price $7,517.95 / $11,555.00 / $14,983.56	Facility		$7,517.95	$11,555.00	$14,983.56
United Facility/Professional Professional Modifier Low / Median / High Price $731.66 / $1,310.63 / $2,071.12	Professional		$731.66	$1,310.63	$2,071.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,243.90 / $1,243.90 / $1,463.40	Professional		$1,243.90	$1,243.90	$1,463.40