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 $949.22 / $1,668.49 / $1,668.49	Professional		$949.22	$1,668.49	$1,668.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,221.25 / $2,517.53 / $2,876.83	Professional		$2,221.25	$2,517.53	$2,876.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $921.57 / $1,598.58 / $2,785.52	Professional		$921.57	$1,598.58	$2,785.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,668.49 / $2,762.28 / $14,396.24	Facility		$1,668.49	$2,762.28	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,224.20 / $2,345.48 / $7,589.04	Professional		$1,224.20	$2,345.48	$7,589.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,727.00 / $3,084.13 / $5,383.60	Facility		$1,727.00	$3,084.13	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,588.02 / $2,221.25 / $3,084.13	Professional		$1,588.02	$2,221.25	$3,084.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,944.80 / $2,654.30	Professional		$5.00	$1,944.80	$2,654.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.58 / $1,996.57 / $3,155.07	Professional		$1,114.58	$1,996.57	$3,155.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,924.10 / $1,924.10 / $2,263.69	Professional		$1,924.10	$1,924.10	$2,263.69