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 $1,373.79 / $2,034.23 / $2,497.16	Professional		$1,373.79	$2,034.23	$2,497.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,652.82 / $3,272.02 / $4,203.24	Professional		$2,652.82	$3,272.02	$4,203.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.24 / $2,293.34 / $3,508.81	Professional		$1,114.24	$2,293.34	$3,508.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,034.23 / $3,466.33 / $11,869.99	Facility		$2,034.23	$3,466.33	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,842.41 / $3,322.31 / $11,014.24	Professional		$1,842.41	$3,322.31	$11,014.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $3,653.87 / $5,383.60	Facility		$2,450.00	$3,653.87	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,233.21 / $3,078.73 / $3,993.30	Professional		$2,233.21	$3,078.73	$3,993.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,700.40 / $3,855.30	Professional		$5.00	$2,700.40	$3,855.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,607.18 / $2,878.95 / $4,549.43	Professional		$1,607.18	$2,878.95	$4,549.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,339.19 / $2,752.00 / $3,361.30	Professional		$2,339.19	$2,752.00	$3,361.30