Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,613.22 / $2,550.32 / $2,550.32	Professional		$1,613.22	$2,550.32	$2,550.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,635.02 / $4,256.91 / $4,954.10	Professional		$3,635.02	$4,256.91	$4,954.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,543.61 / $2,521.10 / $5,842.30	Professional		$1,543.61	$2,521.10	$5,842.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,381.31 / $4,555.35 / $14,396.24	Facility		$2,381.31	$4,555.35	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,966.69 / $3,938.62 / $12,841.28	Professional		$1,966.69	$3,938.62	$12,841.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,782.00 / $4,555.35 / $5,415.44	Facility		$2,782.00	$4,555.35	$5,415.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,546.00 / $3,773.63 / $5,221.91	Professional		$2,546.00	$3,773.63	$5,221.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $3,253.00 / $4,596.70	Professional		$6.00	$3,253.00	$4,596.70
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 $1,871.66 / $3,051.93 / $5,298.10	Professional		$1,871.66	$3,051.93	$5,298.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,195.30 / $3,195.30 / $3,759.10	Professional		$3,195.30	$3,195.30	$3,759.10