Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,817.59 / $11,100.08	Facility		$4,393.00	$5,817.59	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.17 / $1,767.70 / $6,324.00	Professional		$1,161.17	$1,767.70	$6,324.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,736.70 / $2,593.62 / $3,242.03	Professional		$1,736.70	$2,593.62	$3,242.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $824.55 / $1,174.03 / $4,026.70	Professional		$824.55	$1,174.03	$4,026.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,705.79 / $3,254.43 / $11,495.00	Facility		$1,705.79	$3,254.43	$11,495.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.03 / $2,434.01 / $4,441.14	Professional		$1,318.03	$2,434.01	$4,441.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $3,141.50 / $4,188.66	Facility		$2,240.00	$3,141.50	$4,188.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,775.00 / $2,524.59 / $3,444.47	Professional		$1,775.00	$2,524.59	$3,444.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.34 / $1,896.13 / $4,367.31	Professional		$1,001.34	$1,896.13	$4,367.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,183.71 / $8,481.62 / $11,869.99	Facility		$5,183.71	$8,481.62	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.20 / $1,757.38 / $3,575.49	Professional		$1,208.20	$1,757.38	$3,575.49
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