Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.43 / $1,428.32 / $1,793.29	Professional		$1,206.43	$1,428.32	$1,793.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,573.48 / $2,897.73 / $3,244.95	Professional		$2,573.48	$2,897.73	$3,244.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.64 / $1,835.79 / $3,059.95	Professional		$1,086.64	$1,835.79	$3,059.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,598.22 / $2,897.73 / $10,899.50	Facility		$1,598.22	$2,897.73	$10,899.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,394.45 / $2,720.71 / $9,930.27	Professional		$1,394.45	$2,720.71	$9,930.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,897.36 / $2,579.37 / $3,468.47	Facility		$1,897.36	$2,579.37	$3,468.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,868.00 / $2,573.48 / $3,468.47	Professional		$1,868.00	$2,573.48	$3,468.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $2,069.80 / $2,982.70	Professional		$3.00	$2,069.80	$2,982.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.69 / $2,315.98 / $3,659.80	Professional		$1,236.69	$2,315.98	$3,659.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,229.30 / $2,229.30 / $2,622.70	Professional		$2,229.30	$2,229.30	$2,622.70