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 / $11,100.08	Facility		$4,393.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.99 / $1,459.29 / $3,608.42	Professional		$903.99	$1,459.29	$3,608.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.89 / $2,200.90 / $2,529.15	Professional		$1,905.89	$2,200.90	$2,529.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $796.85 / $1,330.98 / $2,257.30	Professional		$796.85	$1,330.98	$2,257.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,520.57 / $2,465.51 / $14,396.24	Facility		$1,520.57	$2,465.51	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,014.47 / $2,011.33 / $7,712.32	Professional		$1,014.47	$2,011.33	$7,712.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,420.00 / $2,626.02 / $5,383.60	Facility		$1,420.00	$2,626.02	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,299.00 / $1,937.39 / $2,626.02	Professional		$1,299.00	$1,937.39	$2,626.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,669.20 / $2,349.69	Professional		$5.00	$1,669.20	$2,349.69
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 $955.80 / $1,712.13 / $2,705.58	Professional		$955.80	$1,712.13	$2,705.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,678.20 / $1,678.20 / $1,974.40	Professional		$1,678.20	$1,678.20	$1,974.40