Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,463.36 / $22,519.42	Facility		$3,496.00	$5,463.36	$22,519.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,506.59 / $2,474.54 / $2,608.04	Professional		$1,506.59	$2,474.54	$2,608.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,180.00 / $3,701.50 / $4,626.88	Professional		$3,180.00	$3,701.50	$4,626.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,540.97 / $2,462.52 / $8,105.72	Professional		$1,540.97	$2,462.52	$8,105.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,374.83 / $4,112.89 / $14,479.00	Facility		$2,374.83	$4,112.89	$14,479.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.74 / $3,317.50 / $12,538.00	Professional		$1,737.74	$3,317.50	$12,538.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,180.00 / $4,413.22 / $6,955.49	Facility		$3,180.00	$4,413.22	$6,955.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,480.23 / $3,681.92 / $4,956.39	Professional		$2,480.23	$3,681.92	$4,956.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,569.81 / $2,938.88 / $7,323.26	Professional		$1,569.81	$2,938.88	$7,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,658.46 / $2,369.64 / $4,739.28	Professional		$1,658.46	$2,369.64	$4,739.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,564.81 / $3,246.60 / $3,819.50	Professional		$2,564.81	$3,246.60	$3,819.50