Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,248.07 / $7,943.28	Facility		$1,445.44	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $4,168.69	Professional		$831.76	$1,584.89	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $2,570.40	Professional		$1,949.84	$2,089.30	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,445.44 / $3,715.35	Professional		$870.96	$1,445.44	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,570.88 / $16,218.10	Facility		$1,513.56	$4,570.88	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $7,762.47	Professional		$1,000.00	$1,737.80	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,995.26 / $2,884.03	Professional		$1,905.46	$1,995.26	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $2,398.83	Professional		$1,737.80	$2,398.83	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,819.70 / $2,344.23	Professional		$5.01	$1,819.70	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,715.19 / $15,488.17	Facility		$7,413.10	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,511.89	Professional		$912.01	$1,348.96	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,995.26	Professional		$1,659.59	$1,659.59	$1,995.26