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 $760.75 / $1,005.42 / $1,005.42	Professional		$760.75	$1,005.42	$1,005.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.94 / $2,040.33 / $2,286.66	Professional		$1,812.94	$2,040.33	$2,286.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $765.11 / $1,328.62 / $2,228.42	Professional		$765.11	$1,328.62	$2,228.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,505.42 / $2,196.59 / $11,051.00	Facility		$1,505.42	$2,196.59	$11,051.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $993.30 / $1,916.59 / $7,983.09	Professional		$993.30	$1,916.59	$7,983.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,245.16 / $1,870.17 / $2,446.06	Facility		$1,245.16	$1,870.17	$2,446.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,245.16 / $1,812.94 / $2,446.06	Professional		$1,245.16	$1,812.94	$2,446.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,462.00 / $2,099.50	Professional		$7.00	$1,462.00	$2,099.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $910.78 / $1,736.54 / $2,578.13	Professional		$910.78	$1,736.54	$2,578.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,570.40 / $1,570.40 / $1,847.60	Professional		$1,570.40	$1,570.40	$1,847.60