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 $1,110.94 / $1,838.19 / $2,666.39	Professional		$1,110.94	$1,838.19	$2,666.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,252.00 / $2,747.89 / $3,434.86	Professional		$2,252.00	$2,747.89	$3,434.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.65 / $1,807.19 / $5,254.10	Professional		$1,132.65	$1,807.19	$5,254.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,742.29 / $3,064.45 / $20,063.05	Facility		$1,742.29	$3,064.45	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,269.86 / $2,405.71 / $9,345.25	Professional		$1,269.86	$2,405.71	$9,345.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,239.71 / $3,064.45 / $15,963.93	Facility		$2,239.71	$3,064.45	$15,963.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,837.79 / $2,717.60 / $3,620.39	Professional		$1,837.79	$2,717.60	$3,620.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.47 / $2,175.84 / $19,670.50	Professional		$1,161.47	$2,175.84	$19,670.50
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 $1,212.15 / $1,847.09 / $3,758.02	Professional		$1,212.15	$1,847.09	$3,758.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,893.08 / $2,396.30 / $2,819.20	Professional		$1,893.08	$2,396.30	$2,819.20