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 $1,432.09 / $2,272.80 / $2,272.80	Professional		$1,432.09	$2,272.80	$2,272.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.91 / $3,808.48 / $4,372.70	Professional		$2,679.91	$3,808.48	$4,372.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.77 / $2,291.46 / $5,136.95	Professional		$1,537.77	$2,291.46	$5,136.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,752.91 / $4,133.00 / $14,727.95	Facility		$1,752.91	$4,133.00	$14,727.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,813.83 / $3,503.58 / $8,675.09	Professional		$1,813.83	$3,503.58	$8,675.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,679.91 / $4,317.82 / $5,383.60	Facility		$2,679.91	$4,317.82	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,400.13 / $3,386.43 / $4,787.64	Professional		$2,400.13	$3,386.43	$4,787.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $3,978.20	Professional		$6.00	$6.00	$3,978.20
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 $1,664.92 / $3,072.73 / $4,712.89	Professional		$1,664.92	$3,072.73	$4,712.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,867.40 / $2,867.40 / $3,373.40	Professional		$2,867.40	$2,867.40	$3,373.40