Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.19 / $1,952.34 / $1,952.34	Professional		$1,089.19	$1,952.34	$1,952.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,590.21 / $2,932.38 / $3,315.07	Professional		$2,590.21	$2,932.38	$3,315.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,098.68 / $2,006.52 / $3,355.01	Professional		$1,098.68	$2,006.52	$3,355.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,234.11 / $3,109.10 / $9,205.60	Facility		$2,234.11	$3,109.10	$9,205.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,476.76 / $2,792.00 / $10,273.00	Professional		$1,476.76	$2,792.00	$10,273.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,851.55 / $2,791.05 / $3,619.68	Facility		$1,851.55	$2,791.05	$3,619.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,014.00 / $2,590.21 / $3,619.68	Professional		$2,014.00	$2,590.21	$3,619.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $2,187.90 / $2,939.90	Professional		$3.00	$2,187.90	$2,939.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.78 / $2,376.66 / $3,755.70	Professional		$1,326.78	$2,376.66	$3,755.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,243.80 / $2,243.80 / $2,639.70	Professional		$2,243.80	$2,243.80	$2,639.70