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 $857.46 / $1,505.56 / $1,505.56	Professional		$857.46	$1,505.56	$1,505.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,002.16 / $2,271.57 / $2,604.14	Professional		$2,002.16	$2,271.57	$2,604.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $827.10 / $1,425.10 / $2,409.98	Professional		$827.10	$1,425.10	$2,409.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,616.91 / $2,558.00 / $14,396.24	Facility		$1,616.91	$2,558.00	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,066.86 / $2,088.07 / $7,141.02	Professional		$1,066.86	$2,088.07	$7,141.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,502.00 / $2,725.97 / $5,383.60	Facility		$1,502.00	$2,725.97	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,392.02 / $2,002.16 / $2,725.97	Professional		$1,392.02	$2,002.16	$2,725.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,717.60 / $2,410.60	Professional		$5.00	$1,717.60	$2,410.60
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 $992.27 / $1,862.94 / $2,808.80	Professional		$992.27	$1,862.94	$2,808.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,734.40 / $1,734.40 / $2,040.40	Professional		$1,734.40	$1,734.40	$2,040.40