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 $1,100.48 / $1,743.35 / $1,743.35	Professional		$1,100.48	$1,743.35	$1,743.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,370.23 / $2,910.70 / $3,341.37	Professional		$2,370.23	$2,910.70	$3,341.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.95 / $1,660.14 / $2,809.25	Professional		$1,060.95	$1,660.14	$2,809.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,529.07 / $3,009.41 / $14,396.24	Facility		$1,529.07	$3,009.41	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,298.94 / $2,619.53 / $8,776.24	Professional		$1,298.94	$2,619.53	$8,776.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,826.00 / $3,361.73 / $5,383.60	Facility		$1,826.00	$3,361.73	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,671.00 / $2,569.12 / $3,361.73	Professional		$1,671.00	$2,569.12	$3,361.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,058.19 / $3,099.20	Professional		$5.00	$2,058.19	$3,099.20
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 $1,241.49 / $2,229.85 / $3,523.70	Professional		$1,241.49	$2,229.85	$3,523.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,175.40 / $2,175.40 / $2,559.30	Professional		$2,175.40	$2,175.40	$2,559.30