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 $1,516.28 / $2,666.47 / $7,243.00	Professional		$1,516.28	$2,666.47	$7,243.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,724.96 / $3,900.95 / $4,876.18	Professional		$2,724.96	$3,900.95	$4,876.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.30 / $2,260.92 / $4,788.01	Professional		$1,631.30	$2,260.92	$4,788.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,630.86 / $3,717.41 / $8,689.00	Facility		$1,630.86	$3,717.41	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,573.38 / $3,212.78 / $12,931.52	Professional		$1,573.38	$3,212.78	$12,931.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,061.10 / $3,890.79 / $5,261.60	Facility		$2,061.10	$3,890.79	$5,261.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $3,674.01 / $4,746.62	Professional		$2,000.00	$3,674.01	$4,746.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,650.49 / $3,104.22 / $3,494.75	Professional		$1,650.49	$3,104.22	$3,494.75
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,573.38 / $2,682.02 / $4,995.25	Professional		$1,573.38	$2,682.02	$4,995.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,710.33 / $3,430.80 / $4,036.20	Professional		$2,710.33	$3,430.80	$4,036.20