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 $1,224.85 / $1,845.20 / $3,091.44	Professional		$1,224.85	$1,845.20	$3,091.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,598.04 / $3,080.58 / $3,532.24	Professional		$2,598.04	$3,080.58	$3,532.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.39 / $1,813.54 / $3,084.71	Professional		$1,124.39	$1,813.54	$3,084.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,917.86 / $3,407.28 / $14,396.24	Facility		$1,917.86	$3,407.28	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,450.83 / $2,780.39 / $9,287.68	Professional		$1,450.83	$2,780.39	$9,287.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,004.00 / $3,570.10 / $6,961.64	Facility		$2,004.00	$3,570.10	$6,961.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,835.00 / $2,718.32 / $3,701.68	Professional		$1,835.00	$2,718.32	$3,701.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,950.70 / $3,555.50	Professional		$5.00	$2,950.70	$3,555.50
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 $1,378.70 / $2,667.81 / $3,740.08	Professional		$1,378.70	$2,667.81	$3,740.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,301.69 / $2,301.69 / $2,707.90	Professional		$2,301.69	$2,301.69	$2,707.90