Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,148.92 / $5,463.36 / $10,506.16	Facility		$2,148.92	$5,463.36	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.19 / $1,395.41 / $1,737.92	Professional		$1,151.19	$1,395.41	$1,737.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,516.71 / $2,830.22 / $3,161.20	Professional		$2,516.71	$2,830.22	$3,161.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.58 / $1,865.30 / $3,275.26	Professional		$1,065.58	$1,865.30	$3,275.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,709.66 / $2,930.06 / $16,298.90	Facility		$1,709.66	$2,930.06	$16,298.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,390.87 / $2,681.02 / $8,525.84	Professional		$1,390.87	$2,681.02	$8,525.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,752.97 / $2,630.34 / $3,440.31	Facility		$1,752.97	$2,630.34	$3,440.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,752.97 / $2,516.71 / $3,440.31	Professional		$1,752.97	$2,516.71	$3,440.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.45 / $1,985.24 / $6,390.55	Professional		$1,056.45	$1,985.24	$6,390.55
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.04 / $2,282.19 / $3,606.42	Professional		$1,274.04	$2,282.19	$3,606.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,180.10 / $2,180.10 / $2,564.80	Professional		$2,180.10	$2,180.10	$2,564.80