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 $1,310.73 / $2,226.19 / $2,396.73	Professional		$1,310.73	$2,226.19	$2,396.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,361.39 / $3,400.77 / $4,250.96	Professional		$2,361.39	$3,400.77	$4,250.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,417.27 / $1,963.22 / $4,637.06	Professional		$1,417.27	$1,963.22	$4,637.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,464.29 / $3,207.75 / $8,689.00	Facility		$1,464.29	$3,207.75	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,377.33 / $2,785.30 / $11,249.60	Professional		$1,377.33	$2,785.30	$11,249.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,767.00 / $3,384.99 / $4,558.41	Facility		$1,767.00	$3,384.99	$4,558.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,767.00 / $3,303.28 / $4,117.33	Professional		$1,767.00	$3,303.28	$4,117.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,439.30 / $2,695.65 / $3,259.56	Professional		$1,439.30	$2,695.65	$3,259.56
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 $1,381.78 / $2,181.75 / $4,203.35	Professional		$1,381.78	$2,181.75	$4,203.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,357.98 / $2,984.80 / $3,511.50	Professional		$2,357.98	$2,984.80	$3,511.50