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 $1,046.08 / $1,658.64 / $1,658.64	Professional		$1,046.08	$1,658.64	$1,658.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,362.76 / $2,772.67 / $3,176.78	Professional		$2,362.76	$2,772.67	$3,176.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.87 / $1,647.33 / $2,794.81	Professional		$1,015.87	$1,647.33	$2,794.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,477.42 / $2,988.70 / $14,396.24	Facility		$1,477.42	$2,988.70	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,275.10 / $2,511.06 / $8,358.56	Professional		$1,275.10	$2,511.06	$8,358.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,809.00 / $3,232.47 / $6,669.67	Facility		$1,809.00	$3,232.47	$6,669.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,635.02 / $2,451.21 / $3,232.47	Professional		$1,635.02	$2,451.21	$3,232.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,972.00 / $2,929.10	Professional		$5.00	$1,972.00	$2,929.10
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 $1,193.27 / $2,416.36 / $3,617.35	Professional		$1,193.27	$2,416.36	$3,617.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,075.50 / $2,075.50 / $2,441.80	Professional		$2,075.50	$2,075.50	$2,441.80