Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,817.59 / $7,943.37	Facility		$4,693.00	$5,817.59	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.51 / $2,001.13 / $7,629.91	Professional		$1,305.51	$2,001.13	$7,629.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,411.70 / $3,162.37 / $3,971.68	Professional		$1,411.70	$3,162.37	$3,971.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.44 / $2,205.44 / $4,565.72	Professional		$1,374.44	$2,205.44	$4,565.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,853.71 / $3,014.93 / $4,898.00	Facility		$1,853.71	$3,014.93	$4,898.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,601.52 / $3,183.78 / $10,680.88	Professional		$1,601.52	$3,183.78	$10,680.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,133.17 / $3,253.25 / $4,578.42	Facility		$2,133.17	$3,253.25	$4,578.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,939.69 / $3,253.25 / $4,312.13	Professional		$1,939.69	$3,253.25	$4,312.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,296.30 / $2,601.90 / $3,126.37	Professional		$1,296.30	$2,601.90	$3,126.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,531.89 / $2,270.17 / $4,533.43	Professional		$1,531.89	$2,270.17	$4,533.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,266.19 / $2,868.60 / $3,374.90	Professional		$2,266.19	$2,868.60	$3,374.90