Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,392.95 / $2,337.41 / $2,411.15	Professional		$1,392.95	$2,337.41	$2,411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,853.00 / $3,424.14 / $4,280.18	Professional		$2,853.00	$3,424.14	$4,280.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,446.39 / $2,272.89 / $5,346.79	Professional		$1,446.39	$2,272.89	$5,346.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,411.15 / $3,463.62 / $6,338.00	Facility		$2,411.15	$3,463.62	$6,338.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,608.22 / $3,070.24 / $11,320.72	Professional		$1,608.22	$3,070.24	$11,320.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $3,427.13 / $4,589.96	Facility		$2,802.84	$3,427.13	$4,589.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,335.15 / $3,406.10 / $4,589.96	Professional		$2,335.15	$3,406.10	$4,589.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.42 / $2,711.18 / $4,129.89	Professional		$1,449.42	$2,711.18	$4,129.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,535.12 / $2,733.98 / $4,356.82	Professional		$1,535.12	$2,733.98	$4,356.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,372.69 / $3,003.40 / $3,533.40	Professional		$2,372.69	$3,003.40	$3,533.40