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 $911.36 / $1,203.10 / $1,203.10	Professional		$911.36	$1,203.10	$1,203.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,070.23 / $2,459.75 / $2,784.31	Professional		$2,070.23	$2,459.75	$2,784.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $921.20 / $1,547.02 / $2,454.35	Professional		$921.20	$1,547.02	$2,454.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,570.09 / $2,577.73 / $10,828.02	Facility		$1,570.09	$2,577.73	$10,828.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,108.24 / $2,234.94 / $10,000.00	Professional		$1,108.24	$2,234.94	$10,000.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,450.26 / $2,194.31 / $2,886.08	Facility		$1,450.26	$2,194.31	$2,886.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,450.26 / $2,194.31 / $2,886.08	Professional		$1,450.26	$2,194.31	$2,886.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,675.50 / $2,525.69	Professional		$7.00	$1,675.50	$2,525.69
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 $1,062.06 / $2,059.19 / $3,006.37	Professional		$1,062.06	$2,059.19	$3,006.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,900.80 / $1,900.80 / $2,236.19	Professional		$1,900.80	$1,900.80	$2,236.19