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 $1,129.88 / $1,913.25 / $2,039.20	Professional		$1,129.88	$1,913.25	$2,039.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,274.36 / $2,912.28 / $3,640.34	Professional		$2,274.36	$2,912.28	$3,640.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.11 / $1,900.38 / $4,325.89	Professional		$1,192.11	$1,900.38	$4,325.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,961.76 / $3,172.33 / $20,063.05	Facility		$1,961.76	$3,172.33	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,334.18 / $2,500.69 / $9,568.56	Professional		$1,334.18	$2,500.69	$9,568.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $3,172.33 / $16,894.14	Facility		$2,266.00	$3,172.33	$16,894.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,911.37 / $2,868.98 / $3,773.02	Professional		$1,911.37	$2,868.98	$3,773.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.92 / $2,350.86 / $18,753.28	Professional		$1,266.92	$2,350.86	$18,753.28
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 $1,273.53 / $1,940.62 / $3,614.41	Professional		$1,273.53	$1,940.62	$3,614.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,998.54 / $2,529.80 / $2,976.20	Professional		$1,998.54	$2,529.80	$2,976.20