Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,560.52 / $2,565.71 / $2,565.71	Professional		$1,560.52	$2,565.71	$2,565.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,527.05 / $4,032.37 / $4,943.39	Professional		$3,527.05	$4,032.37	$4,943.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.14 / $2,564.35 / $5,453.15	Professional		$1,573.14	$2,564.35	$5,453.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,066.57 / $4,277.83 / $14,396.24	Facility		$2,066.57	$4,277.83	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,963.55 / $3,778.21 / $13,000.00	Professional		$1,963.55	$3,778.21	$13,000.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,727.00 / $4,376.03 / $5,498.87	Facility		$2,727.00	$4,376.03	$5,498.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,250.80 / $3,527.05 / $4,765.76	Professional		$2,250.80	$3,527.05	$4,765.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,744.60 / $4,625.70	Professional		$5.00	$2,744.60	$4,625.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $9,755.45 / $11,869.99	Facility		$6,354.00	$9,755.45	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.28 / $3,211.20 / $5,326.61	Professional		$1,862.28	$3,211.20	$5,326.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,238.40 / $3,238.40 / $3,809.90	Professional		$3,238.40	$3,238.40	$3,809.90