Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $12,765.09	Facility		$4,277.00	$6,066.00	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,495.14 / $2,031.72 / $3,221.87	Professional		$1,495.14	$2,031.72	$3,221.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,018.82 / $3,436.19 / $3,878.94	Professional		$3,018.82	$3,436.19	$3,878.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.18 / $2,218.48 / $3,768.83	Professional		$1,289.18	$2,218.48	$3,768.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,357.94 / $3,643.11 / $10,320.00	Facility		$2,357.94	$3,643.11	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,762.21 / $3,278.33 / $12,225.55	Professional		$1,762.21	$3,278.33	$12,225.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,176.50 / $3,034.19 / $4,242.25	Facility		$2,176.50	$3,034.19	$4,242.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,176.50 / $3,034.19 / $4,242.25	Professional		$2,176.50	$3,034.19	$4,242.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,394.40 / $3,438.60	Professional		$7.00	$2,394.40	$3,438.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,557.88 / $3,122.27 / $4,409.89	Professional		$1,557.88	$3,122.27	$4,409.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,675.50 / $2,675.50 / $3,147.60	Professional		$2,675.50	$2,675.50	$3,147.60