Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,119.04 / $11,611.47	Facility		$5,091.00	$7,119.04	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.54 / $1,863.67 / $7,102.53	Professional		$1,212.54	$1,863.67	$7,102.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,309.99 / $2,929.42 / $3,688.25	Professional		$1,309.99	$2,929.42	$3,688.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.34 / $2,011.85 / $4,336.39	Professional		$1,273.34	$2,011.85	$4,336.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,780.71 / $2,933.44 / $4,898.00	Facility		$1,780.71	$2,933.44	$4,898.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,515.51 / $2,963.83 / $9,909.92	Professional		$1,515.51	$2,963.83	$9,909.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,043.31 / $3,013.81 / $4,088.35	Facility		$2,043.31	$3,013.81	$4,088.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,992.00 / $3,013.81 / $4,016.58	Professional		$1,992.00	$3,013.81	$4,016.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.36 / $2,247.31 / $2,762.43	Professional		$1,367.36	$2,247.31	$2,762.43
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 $1,425.64 / $2,203.27 / $4,219.00	Professional		$1,425.64	$2,203.27	$4,219.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,099.42 / $2,657.50 / $3,126.50	Professional		$2,099.42	$2,657.50	$3,126.50