Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.56 / $1,904.66 / $2,344.50	Professional		$1,210.56	$1,904.66	$2,344.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,553.00 / $3,053.84 / $3,730.28	Professional		$2,553.00	$3,053.84	$3,730.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.17 / $2,091.67 / $5,229.03	Professional		$1,278.17	$2,091.67	$5,229.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,904.66 / $3,295.95 / $14,741.07	Facility		$1,904.66	$3,295.95	$14,741.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,411.22 / $2,692.44 / $10,948.48	Professional		$1,411.22	$2,692.44	$10,948.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,439.96 / $3,060.23 / $4,002.58	Facility		$2,439.96	$3,060.23	$4,002.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,043.99 / $3,053.84 / $4,002.58	Professional		$2,043.99	$3,053.84	$4,002.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,366.94 / $2,476.53 / $7,323.26	Professional		$1,366.94	$2,476.53	$7,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $11,555.00 / $18,346.22	Facility		$8,220.00	$11,555.00	$18,346.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,381.35 / $2,052.69 / $3,848.79	Professional		$1,381.35	$2,052.69	$3,848.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,127.31 / $2,692.80 / $3,168.00	Professional		$2,127.31	$2,692.80	$3,168.00