Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.04 / $1,796.87 / $1,858.51	Professional		$1,073.04	$1,796.87	$1,858.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,302.13 / $2,630.32 / $3,280.01	Professional		$2,302.13	$2,630.32	$3,280.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.19 / $1,794.03 / $3,612.19	Professional		$1,111.19	$1,794.03	$3,612.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,844.71 / $2,696.08 / $7,221.00	Facility		$1,844.71	$2,696.08	$7,221.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,242.66 / $2,369.96 / $9,637.49	Professional		$1,242.66	$2,369.96	$9,637.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,155.07 / $2,696.08 / $3,526.28	Facility		$2,155.07	$2,696.08	$3,526.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,798.18 / $2,617.16 / $3,526.28	Professional		$1,798.18	$2,617.16	$3,526.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.86 / $2,088.36 / $9,278.68	Professional		$1,109.86	$2,088.36	$9,278.68
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,184.98 / $1,805.68 / $3,492.02	Professional		$1,184.98	$1,805.68	$3,492.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,823.08 / $2,307.69 / $2,715.00	Professional		$1,823.08	$2,307.69	$2,715.00