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 $1,106.82 / $1,810.86 / $1,936.90	Professional		$1,106.82	$1,810.86	$1,936.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,161.09 / $2,738.54 / $3,423.17	Professional		$2,161.09	$2,738.54	$3,423.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.23 / $1,743.25 / $4,137.64	Professional		$1,132.23	$1,743.25	$4,137.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,387.91 / $2,991.51 / $14,242.22	Facility		$1,387.91	$2,991.51	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,270.94 / $2,375.98 / $8,628.12	Professional		$1,270.94	$2,375.98	$8,628.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,161.09 / $3,241.93 / $9,203.33	Facility		$2,161.09	$3,241.93	$9,203.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,814.68 / $2,713.23 / $3,618.22	Professional		$1,814.68	$2,713.23	$3,618.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.08 / $2,205.89 / $9,455.42	Professional		$1,205.08	$2,205.89	$9,455.42
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 $1,213.17 / $1,848.64 / $3,443.09	Professional		$1,213.17	$1,848.64	$3,443.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,890.00 / $2,392.40 / $2,814.60	Professional		$1,890.00	$2,392.40	$2,814.60