Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.42 / $2,056.42 / $7,841.36	Professional		$1,341.42	$2,056.42	$7,841.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,410.74 / $3,246.51 / $4,082.17	Professional		$1,410.74	$3,246.51	$4,082.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,411.25 / $2,229.66 / $4,852.03	Professional		$1,411.25	$2,229.66	$4,852.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,729.91 / $3,339.86 / $9,346.00	Facility		$1,729.91	$3,339.86	$9,346.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,646.06 / $3,273.82 / $10,974.56	Professional		$1,646.06	$3,273.82	$10,974.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,306.38 / $3,339.86 / $4,454.58	Facility		$2,306.38	$3,339.86	$4,454.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,085.00 / $3,339.86 / $4,179.43	Professional		$2,085.00	$3,339.86	$4,179.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,780.30 / $3,824.20	Professional		$15.00	$2,780.30	$3,824.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $9,082.00 / $13,476.00	Facility		$1,770.00	$9,082.00	$13,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,574.50 / $2,586.35 / $4,659.51	Professional		$1,574.50	$2,586.35	$4,659.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,326.55 / $2,945.00 / $3,464.70	Professional		$2,326.55	$2,945.00	$3,464.70