Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.75 / $1,929.04 / $2,312.13	Professional		$1,237.75	$1,929.04	$2,312.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,518.00 / $3,033.04 / $3,791.30	Professional		$2,518.00	$3,033.04	$3,791.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.63 / $2,144.14 / $5,182.88	Professional		$1,267.63	$2,144.14	$5,182.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,817.69 / $3,208.18 / $11,869.99	Facility		$1,817.69	$3,208.18	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,430.97 / $2,714.35 / $10,052.56	Professional		$1,430.97	$2,714.35	$10,052.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,487.84 / $3,333.98 / $5,874.92	Facility		$2,487.84	$3,333.98	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,053.96 / $2,830.60 / $4,060.92	Professional		$2,053.96	$2,830.60	$4,060.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.29 / $2,438.61 / $6,132.86	Professional		$1,351.29	$2,438.61	$6,132.86
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,365.92 / $2,081.41 / $3,902.64	Professional		$1,365.92	$2,081.41	$3,902.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,106.54 / $2,666.50 / $3,137.00	Professional		$2,106.54	$2,666.50	$3,137.00