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 $1,383.31 / $2,195.01 / $2,195.01	Professional		$1,383.31	$2,195.01	$2,195.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,706.31 / $3,676.91 / $4,225.64	Professional		$2,706.31	$3,676.91	$4,225.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,484.68 / $2,212.27 / $5,192.55	Professional		$1,484.68	$2,212.27	$5,192.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,770.17 / $4,024.52 / $14,727.95	Facility		$1,770.17	$4,024.52	$14,727.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,787.21 / $3,378.95 / $8,770.95	Professional		$1,787.21	$3,378.95	$8,770.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,706.31 / $4,334.99 / $5,383.60	Facility		$2,706.31	$4,334.99	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,423.77 / $3,269.99 / $4,626.01	Professional		$2,423.77	$3,269.99	$4,626.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $3,847.40	Professional		$6.00	$6.00	$3,847.40
United Facility/Professional Facility Modifier Low / Median / High Price $7,379.00 / $10,950.43 / $15,192.34	Facility		$7,379.00	$10,950.43	$15,192.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,647.60 / $2,876.30 / $4,545.25	Professional		$1,647.60	$2,876.30	$4,545.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,768.80 / $2,768.80 / $3,257.40	Professional		$2,768.80	$2,768.80	$3,257.40