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 $1,259.50 / $4,471.93 / $9,465.37	Professional		$1,259.50	$4,471.93	$9,465.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.65 / $3,820.26 / $16,124.45	Professional		$1,674.65	$3,820.26	$16,124.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $708.76 / $2,844.23 / $8,740.02	Professional		$708.76	$2,844.23	$8,740.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,674.65 / $10,882.27 / $19,413.39	Facility		$1,674.65	$10,882.27	$19,413.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,775.00 / $11,591.88 / $41,874.56	Professional		$1,775.00	$11,591.88	$41,874.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,800.10 / $11,142.54 / $15,996.34	Facility		$1,800.10	$11,142.54	$15,996.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,674.65 / $7,721.50 / $15,996.34	Professional		$1,674.65	$7,721.50	$15,996.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13,337.40 / $16,427.80	Professional		$5.00	$13,337.40	$16,427.80
United Facility/Professional Facility Modifier Low / Median / High Price $10,352.00 / $15,202.00 / $23,748.12	Facility		$10,352.00	$15,202.00	$23,748.12
United Facility/Professional Professional Modifier Low / Median / High Price $3,281.94 / $11,591.88 / $18,763.93	Professional		$3,281.94	$11,591.88	$18,763.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,450.70 / $1,706.70 / $12,091.90	Professional		$1,450.70	$1,706.70	$12,091.90