Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.09 / $1,009.80 / $1,009.80	Professional		$765.09	$1,009.80	$1,009.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,834.79 / $2,057.02 / $2,312.94	Professional		$1,834.79	$2,057.02	$2,312.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $774.95 / $1,236.81 / $2,380.67	Professional		$774.95	$1,236.81	$2,380.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,311.22 / $2,085.38 / $12,013.25	Facility		$1,311.22	$2,085.38	$12,013.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,011.67 / $1,924.09 / $6,195.76	Professional		$1,011.67	$1,924.09	$6,195.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,247.06 / $1,849.87 / $2,467.27	Facility		$1,247.06	$1,849.87	$2,467.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,247.06 / $1,834.79 / $2,467.27	Professional		$1,247.06	$1,834.79	$2,467.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,444.00 / $2,105.50	Professional		$6.00	$1,444.00	$2,105.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $931.58 / $1,687.48 / $2,588.21	Professional		$931.58	$1,687.48	$2,588.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,589.40 / $1,589.40 / $1,869.80	Professional		$1,589.40	$1,589.40	$1,869.80