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 $1,122.82 / $1,779.58 / $1,779.58	Professional		$1,122.82	$1,779.58	$1,779.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,953.34 / $2,758.79 / $3,448.49	Professional		$1,953.34	$2,758.79	$3,448.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $962.33 / $1,637.80 / $2,461.77	Professional		$962.33	$1,637.80	$2,461.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,250.44 / $2,782.99 / $13,960.05	Facility		$1,250.44	$2,782.99	$13,960.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,291.29 / $2,655.12 / $8,991.20	Professional		$1,291.29	$2,655.12	$8,991.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,608.00 / $2,371.44 / $3,472.72	Facility		$1,608.00	$2,371.44	$3,472.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,608.00 / $2,371.44 / $3,265.50	Professional		$1,608.00	$2,371.44	$3,265.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,806.70 / $3,142.00	Professional		$6.00	$1,806.70	$3,142.00
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 $1,235.15 / $2,507.23 / $3,655.25	Professional		$1,235.15	$2,507.23	$3,655.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,248.10 / $2,248.10 / $2,644.80	Professional		$2,248.10	$2,248.10	$2,644.80