Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.92 / $1,528.31 / $1,528.31	Professional		$1,012.92	$1,528.31	$1,528.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,200.96 / $2,557.09 / $2,751.20	Professional		$2,200.96	$2,557.09	$2,751.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $904.25 / $1,526.76 / $2,874.25	Professional		$904.25	$1,526.76	$2,874.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,530.68 / $2,434.44 / $7,305.00	Facility		$1,530.68	$2,434.44	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,153.15 / $2,350.02 / $8,103.50	Professional		$1,153.15	$2,350.02	$8,103.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,829.90 / $2,557.09 / $4,781.41	Facility		$1,829.90	$2,557.09	$4,781.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,231.69 / $2,350.02 / $4,058.86	Professional		$1,231.69	$2,350.02	$4,058.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.93 / $1,586.17 / $1,816.84	Professional		$1,304.93	$1,586.17	$1,816.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,105.09 / $2,262.28 / $3,180.04	Professional		$1,105.09	$2,262.28	$3,180.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,543.42 / $1,953.70 / $2,298.50	Professional		$1,543.42	$1,953.70	$2,298.50