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 $1,383.40 / $1,962.18 / $2,517.25	Professional		$1,383.40	$1,962.18	$2,517.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,564.21 / $3,310.20 / $4,284.08	Professional		$2,564.21	$3,310.20	$4,284.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.58 / $2,051.80 / $3,133.93	Professional		$1,084.58	$2,051.80	$3,133.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,962.18 / $3,165.81 / $11,869.99	Facility		$1,962.18	$3,165.81	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.91 / $3,165.81 / $11,116.88	Professional		$1,621.91	$3,165.81	$11,116.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,215.00 / $3,509.75 / $5,383.60	Facility		$2,215.00	$3,509.75	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,977.11 / $2,878.47 / $4,049.02	Professional		$1,977.11	$2,878.47	$4,049.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,486.50 / $3,928.10	Professional		$5.00	$2,486.50	$3,928.10
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 $1,551.40 / $2,637.37 / $4,591.14	Professional		$1,551.40	$2,637.37	$4,591.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,294.30 / $2,699.10 / $3,436.00	Professional		$2,294.30	$2,699.10	$3,436.00