Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,090.00 / $11,611.47	Facility		$5,091.00	$7,090.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.00 / $1,715.13 / $1,786.66	Professional		$1,033.00	$1,715.13	$1,786.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,136.00 / $2,538.31 / $3,172.88	Professional		$2,136.00	$2,538.31	$3,172.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.16 / $1,679.09 / $3,935.28	Professional		$1,065.16	$1,679.09	$3,935.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,711.90 / $2,786.41 / $13,223.70	Facility		$1,711.90	$2,786.41	$13,223.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,186.84 / $2,265.80 / $8,602.26	Professional		$1,186.84	$2,265.80	$8,602.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,081.23 / $2,786.41 / $6,616.19	Facility		$2,081.23	$2,786.41	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,714.20 / $2,517.46 / $3,361.95	Professional		$1,714.20	$2,517.46	$3,361.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.39 / $2,046.70 / $7,323.26	Professional		$1,119.39	$2,046.70	$7,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $11,139.12 / $18,346.22	Facility		$7,221.00	$11,139.12	$18,346.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,132.90 / $1,726.32 / $3,215.27	Professional		$1,132.90	$1,726.32	$3,215.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,753.64 / $2,219.80 / $2,611.50	Professional		$1,753.64	$2,219.80	$2,611.50