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 $1,564.14 / $2,480.17 / $2,480.17	Professional		$1,564.14	$2,480.17	$2,480.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,102.59 / $4,146.51 / $4,761.27	Professional		$3,102.59	$4,146.51	$4,761.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,667.63 / $2,484.57 / $5,950.03	Professional		$1,667.63	$2,484.57	$5,950.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,029.38 / $4,454.47 / $14,727.95	Facility		$2,029.38	$4,454.47	$14,727.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,033.04 / $3,843.71 / $10,069.84	Professional		$2,033.04	$3,843.71	$10,069.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,102.59 / $4,549.35 / $5,383.60	Facility		$3,102.59	$4,549.35	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,778.69 / $3,673.19 / $5,244.42	Professional		$2,778.69	$3,673.19	$5,244.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $4,379.60	Professional		$6.00	$6.00	$4,379.60
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 $1,881.66 / $3,271.92 / $5,170.43	Professional		$1,881.66	$3,271.92	$5,170.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,110.20 / $3,110.20 / $3,659.10	Professional		$3,110.20	$3,110.20	$3,659.10