Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.91 / $1,588.90 / $1,588.90	Professional		$1,200.91	$1,588.90	$1,588.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,862.43 / $3,221.52 / $3,594.57	Professional		$2,862.43	$3,221.52	$3,594.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.14 / $2,121.84 / $4,025.60	Professional		$1,213.14	$2,121.84	$4,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.53 / $3,347.36 / $16,298.90	Facility		$1,995.53	$3,347.36	$16,298.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,594.28 / $3,055.58 / $9,704.08	Professional		$1,594.28	$3,055.58	$9,704.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,998.95 / $2,995.33 / $3,917.67	Facility		$1,998.95	$2,995.33	$3,917.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,998.95 / $2,862.43 / $3,917.67	Professional		$1,998.95	$2,862.43	$3,917.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.34 / $2,259.44 / $6,390.55	Professional		$1,203.34	$2,259.44	$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 $1,454.70 / $2,605.82 / $4,117.82	Professional		$1,454.70	$2,605.82	$4,117.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,479.50 / $2,479.50 / $2,917.10	Professional		$2,479.50	$2,479.50	$2,917.10