Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.74 / $1,926.45 / $5,380.00	Professional		$1,158.74	$1,926.45	$5,380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,377.00 / $2,862.41 / $3,578.02	Professional		$2,377.00	$2,862.41	$3,578.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.47 / $1,891.86 / $4,902.07	Professional		$1,182.47	$1,891.86	$4,902.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,755.79 / $3,124.66 / $22,077.44	Facility		$1,755.79	$3,124.66	$22,077.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,327.47 / $2,534.26 / $9,423.28	Professional		$1,327.47	$2,534.26	$9,423.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,377.00 / $3,384.64 / $18,939.09	Facility		$2,377.00	$3,384.64	$18,939.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,923.04 / $2,834.78 / $3,778.67	Professional		$1,923.04	$2,834.78	$3,778.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,211.42 / $2,271.02 / $19,875.24	Professional		$1,211.42	$2,271.02	$19,875.24
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 $1,267.13 / $2,172.21 / $3,928.46	Professional		$1,267.13	$2,172.21	$3,928.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,974.68 / $2,499.60 / $2,940.70	Professional		$1,974.68	$2,499.60	$2,940.70