Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,960.00 / $11,611.47	Facility		$4,277.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.21 / $1,356.52 / $4,654.00	Professional		$1,133.21	$1,356.52	$4,654.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,449.04 / $2,753.08 / $3,073.55	Professional		$2,449.04	$2,753.08	$3,073.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.30 / $1,816.88 / $3,236.88	Professional		$1,038.30	$1,816.88	$3,236.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,834.58 / $3,014.49 / $23,351.66	Facility		$1,834.58	$3,014.49	$23,351.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,370.42 / $2,621.21 / $9,000.00	Professional		$1,370.42	$2,621.21	$9,000.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,964.00 / $3,364.99 / $8,854.25	Facility		$1,964.00	$3,364.99	$8,854.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,730.71 / $2,449.04 / $3,364.99	Professional		$1,730.71	$2,449.04	$3,364.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.21 / $2,023.30 / $10,147.06	Professional		$1,031.21	$2,023.30	$10,147.06
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.61 / $2,231.29 / $3,525.98	Professional		$1,245.61	$2,231.29	$3,525.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,121.40 / $2,121.40 / $2,495.80	Professional		$2,121.40	$2,121.40	$2,495.80