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 $1,467.37 / $2,333.32 / $2,333.32	Professional		$1,467.37	$2,333.32	$2,333.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,377.03 / $3,882.47 / $4,476.89	Professional		$3,377.03	$3,882.47	$4,476.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.83 / $2,544.87 / $4,371.21	Professional		$1,445.83	$2,544.87	$4,371.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,333.32 / $3,912.24 / $14,396.24	Facility		$2,333.32	$3,912.24	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,822.44 / $3,652.87 / $11,748.16	Professional		$1,822.44	$3,652.87	$11,748.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $4,317.56 / $5,383.60	Facility		$2,696.00	$4,317.56	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,286.00 / $3,377.03 / $4,685.95	Professional		$2,286.00	$3,377.03	$4,685.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,613.30 / $4,165.30	Professional		$5.00	$2,613.30	$4,165.30
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 $1,735.87 / $3,109.47 / $4,913.71	Professional		$1,735.87	$3,109.47	$4,913.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,956.20 / $2,956.20 / $3,477.80	Professional		$2,956.20	$2,956.20	$3,477.80