Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.35 / $1,903.92 / $1,990.51	Professional		$1,150.35	$1,903.92	$1,990.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,368.00 / $2,826.57 / $3,533.22	Professional		$2,368.00	$2,826.57	$3,533.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.22 / $1,874.43 / $3,826.70	Professional		$1,188.22	$1,874.43	$3,826.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,822.20 / $2,904.28 / $6,338.00	Facility		$1,822.20	$2,904.28	$6,338.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,323.23 / $2,526.17 / $9,344.56	Professional		$1,323.23	$2,526.17	$9,344.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,314.00 / $2,864.32 / $3,746.35	Facility		$2,314.00	$2,864.32	$3,746.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,907.05 / $2,808.56 / $3,746.35	Professional		$1,907.05	$2,808.56	$3,746.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,195.33 / $2,232.82 / $7,323.26	Professional		$1,195.33	$2,232.82	$7,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.08 / $1,924.70 / $3,775.49	Professional		$1,263.08	$1,924.70	$3,775.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,956.44 / $2,476.50 / $2,913.50	Professional		$1,956.44	$2,476.50	$2,913.50