Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,119.04 / $12,568.50	Facility		$5,091.00	$7,119.04	$12,568.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,208.76 / $1,765.48 / $5,272.98	Professional		$1,208.76	$1,765.48	$5,272.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $2,700.36 / $3,375.45	Professional		$1,807.55	$2,700.36	$3,375.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.24 / $1,502.66 / $4,212.33	Professional		$1,067.24	$1,502.66	$4,212.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $3,987.81 / $11,732.00	Facility		$2,424.00	$3,987.81	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,373.05 / $2,592.40 / $5,395.97	Professional		$1,373.05	$2,592.40	$5,395.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,216.54 / $3,156.98 / $4,188.66	Facility		$2,216.54	$3,156.98	$4,188.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,849.65 / $2,788.99 / $3,585.26	Professional		$1,849.65	$2,788.99	$3,585.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,316.45 / $4,316.45 / $4,316.45	Facility		$4,316.45	$4,316.45	$4,316.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.73 / $1,976.08 / $4,367.31	Professional		$1,040.73	$1,976.08	$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 $1,258.63 / $1,886.71 / $3,724.75	Professional		$1,258.63	$1,886.71	$3,724.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,752.14 / $2,426.60 / $2,609.30	Professional		$1,752.14	$2,426.60	$2,609.30