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 $1,195.92 / $1,893.11 / $1,893.11	Professional		$1,195.92	$1,893.11	$1,893.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,550.73 / $3,163.48 / $3,662.74	Professional		$2,550.73	$3,163.48	$3,662.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.15 / $1,777.55 / $3,024.87	Professional		$1,154.15	$1,777.55	$3,024.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,705.14 / $3,304.29 / $14,396.24	Facility		$1,705.14	$3,304.29	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,442.06 / $2,908.16 / $9,540.16	Professional		$1,442.06	$2,908.16	$9,540.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,002.00 / $3,727.11 / $5,383.60	Facility		$2,002.00	$3,727.11	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,895.08 / $2,805.66 / $3,738.55	Professional		$1,895.08	$2,805.66	$3,738.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,261.50 / $3,381.40	Professional		$6.00	$2,261.50	$3,381.40
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 $1,363.41 / $2,247.21 / $3,911.96	Professional		$1,363.41	$2,247.21	$3,911.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,375.60 / $2,375.60 / $2,794.90	Professional		$2,375.60	$2,375.60	$2,794.90