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 $1,243.06 / $1,968.48 / $1,968.48	Professional		$1,243.06	$1,968.48	$1,968.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,639.61 / $3,050.96 / $3,813.69	Professional		$2,639.61	$3,050.96	$3,813.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.61 / $1,940.31 / $3,242.03	Professional		$1,192.61	$1,940.31	$3,242.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,552.37 / $3,434.51 / $14,396.24	Facility		$1,552.37	$3,434.51	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,482.73 / $2,822.24 / $9,896.71	Professional		$1,482.73	$2,822.24	$9,896.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,095.00 / $3,522.63 / $5,383.60	Facility		$2,095.00	$3,522.63	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,709.59 / $2,639.61 / $3,656.51	Professional		$1,709.59	$2,639.61	$3,656.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,072.50 / $3,590.70	Professional		$5.00	$2,072.50	$3,590.70
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 $1,331.39 / $2,545.36 / $4,022.28	Professional		$1,331.39	$2,545.36	$4,022.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,474.90 / $2,474.90 / $2,911.60	Professional		$2,474.90	$2,474.90	$2,911.60