Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,098.00 / $11,100.08	Facility		$4,964.00	$6,098.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $1,158.44 / $1,760.54	Professional		$776.00	$1,158.44	$1,760.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,652.11 / $1,868.91 / $2,114.28	Professional		$1,652.11	$1,868.91	$2,114.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $700.56 / $1,216.83 / $2,860.32	Professional		$700.56	$1,216.83	$2,860.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,244.41 / $2,000.85 / $14,479.00	Facility		$1,244.41	$2,000.85	$14,479.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $976.19 / $1,779.74 / $5,625.28	Professional		$976.19	$1,779.74	$5,625.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,337.00 / $2,306.75 / $5,275.65	Facility		$1,337.00	$2,306.75	$5,275.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,219.21 / $1,652.11 / $2,306.75	Professional		$1,219.21	$1,652.11	$2,306.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,410.30 / $1,874.00	Professional		$6.00	$1,410.30	$1,874.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $845.74 / $1,514.99 / $2,394.05	Professional		$845.74	$1,514.99	$2,394.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,431.10 / $1,431.10 / $1,683.70	Professional		$1,431.10	$1,431.10	$1,683.70