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 $1,161.17 / $1,740.32 / $1,989.22	Professional		$1,161.17	$1,740.32	$1,989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,718.66 / $2,593.62 / $3,242.03	Professional		$1,718.66	$2,593.62	$3,242.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $824.55 / $1,174.03 / $4,040.84	Professional		$824.55	$1,174.03	$4,040.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,416.27 / $3,235.60 / $11,495.00	Facility		$1,416.27	$3,235.60	$11,495.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.42 / $2,293.67 / $4,274.29	Professional		$1,318.42	$2,293.67	$4,274.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,129.79 / $3,141.50 / $4,188.66	Facility		$2,129.79	$3,141.50	$4,188.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,773.41 / $2,458.48 / $3,444.47	Professional		$1,773.41	$2,458.48	$3,444.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.68 / $1,896.13 / $4,367.31	Professional		$1,001.68	$1,896.13	$4,367.31
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 $1,190.69 / $1,757.89 / $3,296.04	Professional		$1,190.69	$1,757.89	$3,296.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,682.38 / $2,330.10 / $2,505.50	Professional		$1,682.38	$2,330.10	$2,505.50