Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.45 / $1,556.56 / $1,838.02	Professional		$1,005.45	$1,556.56	$1,838.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,126.00 / $2,453.42 / $3,041.41	Professional		$2,126.00	$2,453.42	$3,041.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.39 / $1,559.39 / $3,780.44	Professional		$1,018.39	$1,559.39	$3,780.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,472.17 / $2,676.02 / $11,869.99	Facility		$1,472.17	$2,676.02	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,160.15 / $2,179.79 / $8,063.68	Professional		$1,160.15	$2,179.79	$8,063.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,009.16 / $2,676.02 / $7,398.85	Facility		$2,009.16	$2,676.02	$7,398.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,704.56 / $2,365.34 / $3,289.13	Professional		$1,704.56	$2,365.34	$3,289.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $998.05 / $1,855.67 / $7,773.20	Professional		$998.05	$1,855.67	$7,773.20
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 $1,091.86 / $1,663.81 / $3,271.10	Professional		$1,091.86	$1,663.81	$3,271.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,647.70 / $2,085.69 / $2,453.80	Professional		$1,647.70	$2,085.69	$2,453.80