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 $956.16 / $1,682.30 / $1,682.30	Professional		$956.16	$1,682.30	$1,682.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,248.90 / $2,543.92 / $2,898.25	Professional		$2,248.90	$2,543.92	$2,898.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $937.57 / $1,625.16 / $2,767.98	Professional		$937.57	$1,625.16	$2,767.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,850.33 / $2,940.38 / $14,396.24	Facility		$1,850.33	$2,940.38	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,241.04 / $2,374.75 / $8,569.23	Professional		$1,241.04	$2,374.75	$8,569.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $3,117.62 / $5,383.60	Facility		$1,749.00	$3,117.62	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,602.81 / $2,248.90 / $3,117.62	Professional		$1,602.81	$2,248.90	$3,117.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,939.50 / $2,651.70	Professional		$5.00	$1,939.50	$2,651.70
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 $1,128.50 / $2,264.38 / $3,194.43	Professional		$1,128.50	$2,264.38	$3,194.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,948.10 / $1,948.10 / $2,291.90	Professional		$1,948.10	$1,948.10	$2,291.90