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 $921.86 / $1,621.54 / $1,621.54	Professional		$921.86	$1,621.54	$1,621.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,161.55 / $2,449.21 / $2,789.18	Professional		$2,161.55	$2,449.21	$2,789.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $900.20 / $1,632.33 / $2,747.35	Professional		$900.20	$1,632.33	$2,747.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.54 / $2,681.81 / $14,396.24	Facility		$1,621.54	$2,681.81	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,205.43 / $2,288.06 / $8,240.67	Professional		$1,205.43	$2,288.06	$8,240.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,702.00 / $3,003.46 / $5,383.60	Facility		$1,702.00	$3,003.46	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,558.00 / $2,161.55 / $3,003.46	Professional		$1,558.00	$2,161.55	$3,003.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,877.50 / $2,564.00	Professional		$5.00	$1,877.50	$2,564.00
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 $1,087.30 / $1,947.69 / $3,077.82	Professional		$1,087.30	$1,947.69	$3,077.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,872.40 / $1,872.40 / $2,202.80	Professional		$1,872.40	$1,872.40	$2,202.80