Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $8,851.00 / $11,923.23	Facility		$4,964.00	$8,851.00	$11,923.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.29 / $1,049.54 / $1,049.54	Professional		$625.29	$1,049.54	$1,049.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,592.59 / $1,816.28	Professional		$1,055.57	$1,592.59	$1,816.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $641.39 / $955.91 / $2,479.52	Professional		$641.39	$955.91	$2,479.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $757.41 / $1,773.72 / $32,033.93	Facility		$757.41	$1,773.72	$32,033.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $774.70 / $1,507.95 / $3,555.20	Professional		$774.70	$1,507.95	$3,555.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,195.86 / $2,422.01 / $19,760.05	Facility		$1,195.86	$2,422.01	$19,760.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,195.86 / $1,592.59 / $2,422.01	Professional		$1,195.86	$1,592.59	$2,422.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $1,549.70	Professional		$5.00	$5.00	$1,549.70
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 $715.42 / $1,289.49 / $1,977.79	Professional		$715.42	$1,289.49	$1,977.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,223.09 / $1,223.09 / $1,438.90	Professional		$1,223.09	$1,223.09	$1,438.90