Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,315.09 / $2,083.79 / $2,083.79	Professional		$1,315.09	$2,083.79	$2,083.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,080.03 / $3,478.89 / $4,029.52	Professional		$3,080.03	$3,478.89	$4,029.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.42 / $2,209.08 / $4,077.18	Professional		$1,273.42	$2,209.08	$4,077.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,742.61 / $13,960.05	Facility		$2,000.00	$3,742.61	$13,960.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,743.62 / $3,222.81 / $10,488.80	Professional		$1,743.62	$3,222.81	$10,488.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,105.11 / $3,168.85 / $4,144.66	Facility		$2,105.11	$3,168.85	$4,144.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,327.00 / $3,080.03 / $4,144.66	Professional		$2,327.00	$3,080.03	$4,144.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,755.60 / $3,701.00	Professional		$6.00	$2,755.60	$3,701.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,531.50 / $3,094.38 / $4,335.21	Professional		$1,531.50	$3,094.38	$4,335.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,608.00 / $2,608.00 / $3,068.20	Professional		$2,608.00	$2,608.00	$3,068.20