Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.73 / $1,236.01 / $1,236.01	Professional		$796.73	$1,236.01	$1,236.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,413.74 / $2,096.71 / $2,416.17	Professional		$1,413.74	$2,096.71	$2,416.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $862.03 / $1,285.34 / $4,878.01	Professional		$862.03	$1,285.34	$4,878.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $986.61 / $2,320.32 / $31,046.77	Facility		$986.61	$2,320.32	$31,046.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,009.14 / $1,915.24 / $6,386.30	Professional		$1,009.14	$1,915.24	$6,386.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,598.02 / $2,486.67 / $21,078.29	Facility		$1,598.02	$2,486.67	$21,078.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,598.02 / $2,096.71 / $2,486.67	Professional		$1,598.02	$2,096.71	$2,486.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $1,986.30	Professional		$5.00	$5.00	$1,986.30
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $928.30 / $1,630.33 / $2,576.31	Professional		$928.30	$1,630.33	$2,576.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,671.80 / $1,671.80 / $1,966.80	Professional		$1,671.80	$1,671.80	$1,966.80