Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.28 / $1,112.43 / $1,112.43	Professional		$945.28	$1,112.43	$1,112.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,007.99 / $2,258.96 / $2,529.15	Professional		$2,007.99	$2,258.96	$2,529.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $848.25 / $1,440.37 / $2,411.02	Professional		$848.25	$1,440.37	$2,411.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,339.35 / $2,143.98 / $6,608.00	Facility		$1,339.35	$2,143.98	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,084.97 / $2,127.35 / $6,805.60	Professional		$1,084.97	$2,127.35	$6,805.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,375.12 / $2,031.62 / $2,718.40	Facility		$1,375.12	$2,031.62	$2,718.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,375.12 / $2,007.99 / $2,718.40	Professional		$1,375.12	$2,007.99	$2,718.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,625.10 / $2,321.80	Professional		$6.00	$1,625.10	$2,321.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,010.93 / $1,978.49 / $2,861.64	Professional		$1,010.93	$1,978.49	$2,861.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,739.40 / $1,739.40 / $2,046.40	Professional		$1,739.40	$1,739.40	$2,046.40