Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.96 / $1,806.08 / $1,806.08	Professional		$1,134.96	$1,806.08	$1,806.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,676.11 / $3,215.90 / $3,414.41	Professional		$2,676.11	$3,215.90	$3,414.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.30 / $1,950.84 / $3,453.02	Professional		$1,127.30	$1,950.84	$3,453.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,292.37 / $3,282.35 / $14,595.02	Facility		$2,292.37	$3,282.35	$14,595.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,498.80 / $2,833.67 / $9,109.12	Professional		$1,498.80	$2,833.67	$9,109.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,902.84 / $2,820.47 / $3,688.98	Facility		$1,902.84	$2,820.47	$3,688.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,035.00 / $2,676.11 / $3,688.98	Professional		$2,035.00	$2,676.11	$3,688.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,214.50 / $3,110.80	Professional		$5.00	$2,214.50	$3,110.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,346.58 / $2,761.62 / $3,811.76	Professional		$1,346.58	$2,761.62	$3,811.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,266.00 / $2,266.00 / $2,665.80	Professional		$2,266.00	$2,266.00	$2,665.80