Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,098.00 / $11,100.08	Facility		$4,964.00	$6,098.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.31 / $1,414.40 / $1,414.40	Professional		$1,148.31	$1,414.40	$1,414.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,112.08 / $2,392.96 / $2,700.56	Professional		$2,112.08	$2,392.96	$2,700.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $897.25 / $1,584.43 / $2,832.47	Professional		$897.25	$1,584.43	$2,832.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,529.56 / $2,510.21 / $14,242.22	Facility		$1,529.56	$2,510.21	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,254.08 / $2,283.03 / $15,405.68	Professional		$1,254.08	$2,283.03	$15,405.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,518.52 / $2,209.65 / $2,957.46	Facility		$1,518.52	$2,209.65	$2,957.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,518.52 / $2,112.08 / $2,957.46	Professional		$1,518.52	$2,112.08	$2,957.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,671.00 / $2,397.19	Professional		$6.00	$1,671.00	$2,397.19
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,084.91 / $2,174.52 / $3,071.05	Professional		$1,084.91	$2,174.52	$3,071.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,862.40 / $1,862.40 / $2,191.00	Professional		$1,862.40	$1,862.40	$2,191.00