Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,178.50 / $2,078.00 / $2,978.23	Professional		$1,178.50	$2,078.00	$2,978.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,785.82 / $3,216.90 / $4,021.13	Professional		$2,785.82	$3,216.90	$4,021.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.33 / $1,975.35 / $3,183.34	Professional		$1,262.33	$1,975.35	$3,183.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,758.30 / $3,462.56 / $14,396.24	Facility		$1,758.30	$3,462.56	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,570.63 / $3,167.44 / $10,448.87	Professional		$1,570.63	$3,167.44	$10,448.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,129.00 / $3,729.65 / $5,383.60	Facility		$2,129.00	$3,729.65	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,770.76 / $2,785.82 / $3,858.68	Professional		$1,770.76	$2,785.82	$3,858.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,196.50 / $3,778.80	Professional		$5.00	$2,196.50	$3,778.80
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 $1,488.95 / $2,696.25 / $4,260.72	Professional		$1,488.95	$2,696.25	$4,260.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,614.69 / $2,614.69 / $3,076.20	Professional		$2,614.69	$2,614.69	$3,076.20