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 $834.88 / $1,103.53 / $1,103.53	Professional		$834.88	$1,103.53	$1,103.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.97 / $2,240.15 / $2,508.69	Professional		$1,991.97	$2,240.15	$2,508.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $841.72 / $1,472.47 / $2,480.15	Professional		$841.72	$1,472.47	$2,480.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,285.33 / $2,245.02 / $7,799.00	Facility		$1,285.33	$2,245.02	$7,799.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,091.33 / $2,111.35 / $7,322.65	Professional		$1,091.33	$2,111.35	$7,322.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,433.21 / $2,061.64 / $2,696.48	Facility		$1,433.21	$2,061.64	$2,696.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,433.21 / $1,991.97 / $2,696.48	Professional		$1,433.21	$1,991.97	$2,696.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,649.70 / $2,303.30	Professional		$6.00	$1,649.70	$2,303.30
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 $1,003.33 / $1,797.27 / $2,840.12	Professional		$1,003.33	$1,797.27	$2,840.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,725.50 / $1,725.50 / $2,030.00	Professional		$1,725.50	$1,725.50	$2,030.00