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 $977.61 / $1,022.92 / $1,285.16	Professional		$977.61	$1,022.92	$1,285.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,844.96 / $2,076.17 / $2,609.94	Professional		$1,844.96	$2,076.17	$2,609.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $779.17 / $1,181.23 / $3,487.65	Professional		$779.17	$1,181.23	$3,487.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,214.92 / $2,273.48 / $23,351.66	Facility		$1,214.92	$2,273.48	$23,351.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,048.90 / $1,950.79 / $8,470.17	Professional		$1,048.90	$1,950.79	$8,470.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,551.80 / $2,487.92 / $8,854.25	Facility		$1,551.80	$2,487.92	$8,854.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,262.64 / $1,844.96 / $2,619.60	Professional		$1,262.64	$1,844.96	$2,619.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $772.30 / $1,523.64 / $10,147.06	Professional		$772.30	$1,523.64	$10,147.06
United Facility/Professional Facility Modifier Low / Median / High Price $7,234.00 / $11,707.82 / $14,479.00	Facility		$7,234.00	$11,707.82	$14,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $927.03 / $1,766.37 / $2,624.13	Professional		$927.03	$1,766.37	$2,624.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,598.20 / $1,598.20 / $1,880.20	Professional		$1,598.20	$1,598.20	$1,880.20