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 $1,807.66 / $3,116.81 / $3,131.94	Professional		$1,807.66	$3,116.81	$3,131.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,788.00 / $4,462.26 / $5,525.77	Professional		$3,788.00	$4,462.26	$5,525.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,874.96 / $2,946.37 / $5,546.28	Professional		$1,874.96	$2,946.37	$5,546.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,056.88 / $4,573.82 / $10,463.00	Facility		$3,056.88	$4,573.82	$10,463.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,094.17 / $3,989.77 / $18,269.46	Professional		$2,094.17	$3,989.77	$18,269.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,632.67 / $4,573.82 / $5,982.23	Facility		$3,632.67	$4,573.82	$5,982.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,026.00 / $4,416.28 / $5,982.23	Professional		$3,026.00	$4,416.28	$5,982.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.16 / $3,523.04 / $27,610.77	Professional		$1,871.16	$3,523.04	$27,610.77
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 $2,039.96 / $3,046.06 / $5,711.37	Professional		$2,039.96	$3,046.06	$5,711.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,076.34 / $3,894.10 / $4,581.30	Professional		$3,076.34	$3,894.10	$4,581.30