Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,760.83 / $10,000.00	Facility		$1,513.56	$6,760.83	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,290.87	Professional		$851.14	$1,122.02	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,630.27	Professional		$2,137.96	$2,137.96	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $4,677.35	Professional		$912.01	$1,548.82	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,570.88 / $16,218.10	Facility		$1,698.24	$4,570.88	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $10,232.93	Professional		$1,047.13	$1,862.09	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,137.96 / $3,235.94	Professional		$1,995.26	$2,137.96	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $2,511.89	Professional		$1,862.09	$2,511.89	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,905.46 / $2,398.83	Professional		$5.01	$1,905.46	$2,398.83
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 $977.24 / $1,445.44 / $2,754.23	Professional		$977.24	$1,445.44	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,041.74	Professional		$1,737.80	$1,737.80	$2,041.74