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 $1,115.52 / $1,475.72 / $1,475.72	Professional		$1,115.52	$1,475.72	$1,475.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,660.09 / $2,991.98 / $3,340.39	Professional		$2,660.09	$2,991.98	$3,340.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.79 / $1,971.74 / $3,741.08	Professional		$1,126.79	$1,971.74	$3,741.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,836.83 / $3,102.84 / $12,013.25	Facility		$1,836.83	$3,102.84	$12,013.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,467.26 / $2,837.93 / $9,012.79	Professional		$1,467.26	$2,837.93	$9,012.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,853.75 / $2,779.78 / $3,635.77	Facility		$1,853.75	$2,779.78	$3,635.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,853.75 / $2,660.09 / $3,635.77	Professional		$1,853.75	$2,660.09	$3,635.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,117.40 / $2,099.00 / $4,545.41	Professional		$1,117.40	$2,099.00	$4,545.41
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 $1,349.30 / $2,657.02 / $3,819.44	Professional		$1,349.30	$2,657.02	$3,819.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,304.30 / $2,304.30 / $2,710.90	Professional		$2,304.30	$2,304.30	$2,710.90