Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.88 / $1,614.74 / $1,614.74	Professional		$1,019.88	$1,614.74	$1,614.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,271.89 / $2,695.15 / $3,099.84	Professional		$2,271.89	$2,695.15	$3,099.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $979.61 / $1,585.27 / $2,702.99	Professional		$979.61	$1,585.27	$2,702.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,538.57 / $2,845.12 / $14,396.24	Facility		$1,538.57	$2,845.12	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,197.06 / $2,414.07 / $8,127.20	Professional		$1,197.06	$2,414.07	$8,127.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,727.00 / $3,092.87 / $5,383.60	Facility		$1,727.00	$3,092.87	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,551.73 / $2,364.71 / $3,092.87	Professional		$1,551.73	$2,364.71	$3,092.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,900.30 / $2,881.40	Professional		$5.00	$1,900.30	$2,881.40
United Facility/Professional Facility Modifier Low / Median / High Price $7,379.00 / $10,950.43 / $15,192.34	Facility		$7,379.00	$10,950.43	$15,192.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,147.18 / $2,054.94 / $3,247.32	Professional		$1,147.18	$2,054.94	$3,247.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,013.30 / $2,013.30 / $2,368.60	Professional		$2,013.30	$2,013.30	$2,368.60