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 $1,089.78 / $1,741.38 / $1,741.38	Professional		$1,089.78	$1,741.38	$1,741.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,310.03 / $2,614.04 / $2,958.63	Professional		$2,310.03	$2,614.04	$2,958.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $979.08 / $1,672.13 / $2,898.37	Professional		$979.08	$1,672.13	$2,898.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,483.43 / $2,769.81 / $8,586.74	Facility		$1,483.43	$2,769.81	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,355.21 / $2,479.61 / $8,061.00	Professional		$1,355.21	$2,479.61	$8,061.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,785.00 / $2,665.05 / $3,243.14	Facility		$1,785.00	$2,665.05	$3,243.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,643.47 / $2,310.03 / $3,226.53	Professional		$1,643.47	$2,310.03	$3,226.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,790.50 / $2,623.00	Professional		$3.00	$1,790.50	$2,623.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,179.82 / $2,113.42 / $3,339.71	Professional		$1,179.82	$2,113.42	$3,339.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,001.00 / $2,001.00 / $2,354.19	Professional		$2,001.00	$2,001.00	$2,354.19