Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,012.00 / $6,298.62 / $10,255.42	Facility		$5,012.00	$6,298.62	$10,255.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,600.28 / $2,795.93 / $2,817.66	Professional		$1,600.28	$2,795.93	$2,817.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,368.00 / $4,017.44 / $4,868.39	Professional		$3,368.00	$4,017.44	$4,868.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,684.85 / $2,697.06 / $4,099.68	Professional		$1,684.85	$2,697.06	$4,099.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,790.14 / $4,121.76 / $10,463.00	Facility		$2,790.14	$4,121.76	$10,463.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,873.23 / $3,589.43 / $18,872.39	Professional		$1,873.23	$3,589.43	$18,872.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,226.00 / $4,087.43 / $5,343.26	Facility		$3,226.00	$4,087.43	$5,343.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,721.66 / $4,017.44 / $5,343.26	Professional		$2,721.66	$4,017.44	$5,343.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,830.35 / $3,327.53 / $27,184.20	Professional		$1,830.35	$3,327.53	$27,184.20
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,822.25 / $2,724.70 / $5,108.82	Professional		$1,822.25	$2,724.70	$5,108.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,798.58 / $3,542.50 / $4,167.60	Professional		$2,798.58	$3,542.50	$4,167.60