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 $832.71 / $1,100.73 / $1,100.73	Professional		$832.71	$1,100.73	$1,100.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,986.17 / $2,234.46 / $2,500.91	Professional		$1,986.17	$2,234.46	$2,500.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $839.45 / $1,453.85 / $2,432.69	Professional		$839.45	$1,453.85	$2,432.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,263.94 / $2,234.46 / $7,434.14	Facility		$1,263.94	$2,234.46	$7,434.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,091.51 / $2,105.81 / $6,731.68	Professional		$1,091.51	$2,105.81	$6,731.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,376.13 / $2,051.54 / $2,689.19	Facility		$1,376.13	$2,051.54	$2,689.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,383.00 / $1,986.17 / $2,689.19	Professional		$1,383.00	$1,986.17	$2,689.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,514.80 / $2,296.69	Professional		$6.00	$1,514.80	$2,296.69
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 $1,011.25 / $1,553.66 / $2,832.66	Professional		$1,011.25	$1,553.66	$2,832.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,720.50 / $1,720.50 / $2,024.10	Professional		$1,720.50	$1,720.50	$2,024.10