Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.15 / $1,843.80 / $1,843.80	Professional		$1,163.15	$1,843.80	$1,843.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,649.08 / $3,084.31 / $3,547.83	Professional		$2,649.08	$3,084.31	$3,547.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,131.77 / $1,856.75 / $3,142.48	Professional		$1,131.77	$1,856.75	$3,142.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,726.46 / $3,084.31 / $8,342.00	Facility		$1,726.46	$3,084.31	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,454.33 / $2,899.72 / $9,298.40	Professional		$1,454.33	$2,899.72	$9,298.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,979.22 / $2,571.84 / $3,384.40	Facility		$1,979.22	$2,571.84	$3,384.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,979.22 / $2,734.34 / $3,828.11	Professional		$1,979.22	$2,734.34	$3,828.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,317.60 / $3,258.90	Professional		$6.00	$2,317.60	$3,258.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,377.96 / $2,468.35 / $3,900.60	Professional		$1,377.96	$2,468.35	$3,900.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,315.30 / $2,315.30 / $2,723.80	Professional		$2,315.30	$2,315.30	$2,723.80