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 $1,129.69 / $1,789.71 / $1,789.71	Professional		$1,129.69	$1,789.71	$1,789.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,458.61 / $2,989.56 / $3,429.01	Professional		$2,458.61	$2,989.56	$3,429.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.75 / $1,720.60 / $2,911.39	Professional		$1,089.75	$1,720.60	$2,911.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,825.57 / $3,183.35 / $14,396.24	Facility		$1,825.57	$3,183.35	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,336.88 / $2,692.27 / $9,013.76	Professional		$1,336.88	$2,692.27	$9,013.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,885.00 / $3,450.97 / $5,953.20	Facility		$1,885.00	$3,450.97	$5,953.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,725.00 / $2,636.80 / $3,450.97	Professional		$1,725.00	$2,636.80	$3,450.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,114.80 / $3,180.90	Professional		$5.00	$2,114.80	$3,180.90
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 $1,279.39 / $2,469.89 / $3,621.55	Professional		$1,279.39	$2,469.89	$3,621.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,232.69 / $2,232.69 / $2,626.70	Professional		$2,232.69	$2,232.69	$2,626.70