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 $745.88 / $986.25 / $1,025.82	Professional		$745.88	$986.25	$1,025.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.06 / $2,001.50 / $2,241.86	Professional		$1,541.06	$2,001.50	$2,241.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $805.15 / $1,200.33 / $3,083.06	Professional		$805.15	$1,200.33	$3,083.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,007.99 / $2,191.81 / $25,920.34	Facility		$1,007.99	$2,191.81	$25,920.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,003.34 / $1,896.94 / $3,250.99	Professional		$1,003.34	$1,896.94	$3,250.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,495.64 / $2,433.00 / $8,854.25	Facility		$1,495.64	$2,433.00	$8,854.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,377.56 / $1,780.92 / $2,524.71	Professional		$1,377.56	$1,780.92	$2,524.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $2,052.60	Professional		$6.00	$6.00	$2,052.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $901.44 / $1,726.41 / $2,551.69	Professional		$901.44	$1,726.41	$2,551.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,542.70 / $1,542.70 / $1,814.90	Professional		$1,542.70	$1,542.70	$1,814.90