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 $1,091.97 / $1,729.73 / $5,088.00	Professional		$1,091.97	$1,729.73	$5,088.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,540.78 / $2,888.27 / $3,749.72	Professional		$2,540.78	$2,888.27	$3,749.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.30 / $1,748.58 / $3,015.59	Professional		$1,052.30	$1,748.58	$3,015.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,729.73 / $3,395.43 / $14,396.24	Facility		$1,729.73	$3,395.43	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,398.87 / $2,726.55 / $8,708.71	Professional		$1,398.87	$2,726.55	$8,708.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $3,331.30 / $5,383.60	Facility		$1,998.00	$3,331.30	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,786.85 / $2,548.73 / $3,645.33	Professional		$1,786.85	$2,548.73	$3,645.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,789.40 / $3,361.10	Professional		$5.00	$2,789.40	$3,361.10
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 $1,279.49 / $2,211.17 / $3,494.21	Professional		$1,279.49	$2,211.17	$3,494.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,158.10 / $2,158.10 / $2,539.00	Professional		$2,158.10	$2,158.10	$2,539.00