Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,508.65 / $1,508.65 / $6,276.00	Professional		$1,508.65	$1,508.65	$6,276.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,010.17 / $2,278.52 / $2,598.30	Professional		$2,010.17	$2,278.52	$2,598.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $835.88 / $1,494.06 / $2,517.29	Professional		$835.88	$1,494.06	$2,517.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,685.09 / $2,638.06 / $14,396.24	Facility		$1,685.09	$2,638.06	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,111.84 / $2,126.04 / $10,284.73	Professional		$1,111.84	$2,126.04	$10,284.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,566.00 / $2,784.92 / $5,383.60	Facility		$1,566.00	$2,784.92	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,436.50 / $2,010.17 / $2,784.92	Professional		$1,436.50	$2,010.17	$2,784.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,746.50 / $2,391.80	Professional		$5.00	$1,746.50	$2,391.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,010.31 / $1,864.59 / $2,859.88	Professional		$1,010.31	$1,864.59	$2,859.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,741.30 / $1,741.30 / $2,048.60	Professional		$1,741.30	$1,741.30	$2,048.60