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 $1,607.41 / $2,552.55 / $2,552.55	Professional		$1,607.41	$2,552.55	$2,552.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,175.90 / $4,274.89 / $4,895.67	Professional		$3,175.90	$4,274.89	$4,895.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,726.04 / $2,572.33 / $6,075.12	Professional		$1,726.04	$2,572.33	$6,075.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,077.32 / $4,539.76 / $14,727.95	Facility		$2,077.32	$4,539.76	$14,727.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,087.71 / $3,947.07 / $10,284.93	Professional		$2,087.71	$3,947.07	$10,284.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,175.90 / $4,555.35 / $5,383.60	Facility		$3,175.90	$4,555.35	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,889.09 / $3,799.82 / $5,374.75	Professional		$2,889.09	$3,799.82	$5,374.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $4,453.39	Professional		$6.00	$6.00	$4,453.39
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 $1,921.85 / $3,820.86 / $5,309.46	Professional		$1,921.85	$3,820.86	$5,309.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,217.40 / $3,217.40 / $3,785.20	Professional		$3,217.40	$3,217.40	$3,785.20