Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.85 / $1,640.54 / $1,640.54	Professional		$1,043.85	$1,640.54	$1,640.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,004.24 / $2,715.30 / $3,165.09	Professional		$2,004.24	$2,715.30	$3,165.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $985.86 / $1,484.59 / $2,434.04	Professional		$985.86	$1,484.59	$2,434.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,394.71 / $2,772.51 / $14,396.24	Facility		$1,394.71	$2,772.51	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,205.78 / $2,431.66 / $9,474.04	Professional		$1,205.78	$2,431.66	$9,474.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,587.00 / $3,018.09 / $5,383.60	Facility		$1,587.00	$3,018.09	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,400.59 / $2,373.07 / $3,018.09	Professional		$1,400.59	$2,373.07	$3,018.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,911.20 / $2,973.70	Professional		$5.00	$1,911.20	$2,973.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $9,755.45 / $11,869.99	Facility		$6,354.00	$9,755.45	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.09 / $2,132.63 / $3,270.99	Professional		$1,138.09	$2,132.63	$3,270.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.00 / $2,041.00 / $2,401.19	Professional		$2,041.00	$2,041.00	$2,401.19