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 $1,230.33 / $2,024.70 / $2,313.34	Professional		$1,230.33	$2,024.70	$2,313.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,020.56 / $3,015.90 / $3,769.87	Professional		$2,020.56	$3,015.90	$3,769.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $958.66 / $1,364.85 / $4,713.04	Professional		$958.66	$1,364.85	$4,713.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,984.19 / $4,430.28 / $12,845.90	Facility		$1,984.19	$4,430.28	$12,845.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,533.56 / $2,807.53 / $5,640.97	Professional		$1,533.56	$2,807.53	$5,640.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,584.00 / $3,942.51 / $5,256.68	Facility		$2,584.00	$3,942.51	$5,256.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,063.65 / $2,909.25 / $4,007.62	Professional		$2,063.65	$2,909.25	$4,007.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,556.93 / $5,556.93 / $5,556.93	Facility		$5,556.93	$5,556.93	$5,556.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.42 / $2,204.21 / $5,518.30	Professional		$1,164.42	$2,204.21	$5,518.30
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 $1,405.77 / $2,105.83 / $4,160.18	Professional		$1,405.77	$2,105.83	$4,160.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,955.88 / $2,708.80 / $2,912.70	Professional		$1,955.88	$2,708.80	$2,912.70